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North Dakota rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.45 / $275.45 / $275.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.06 / $263.06 / $275.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.98 / $418.53 / $428.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $443.14 / $557.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.26 / $275.45 / $2,077.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.83 / $188.88 / $314.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $209.69 / $314.80