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North Dakota rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.31 / $38.31 / $38.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $36.22 / $38.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.23 / $58.21 / $59.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $60.98 / $76.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.44 / $38.31 / $242.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.98 / $25.77 / $41.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.01 / $23.01 / $23.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $25.77 / $55.23