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North Dakota rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.49 / $57.49 / $69.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.51 / $105.83 / $108.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.38 / $115.52 / $145.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.21 / $69.65 / $501.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.14 / $47.91 / $79.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $47.76 / $79.59