go back

North Dakota rates for HCPCS L2755

Addition To Lower Extremity Orthosis High Strength Lightweight Material All

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.76 / $115.76 / $115.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.90 / $109.38 / $115.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.77 / $175.90 / $180.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.63 / $184.45 / $231.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.47 / $115.76 / $734.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $79.38 / $153.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.94 / $81.84 / $157.43