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North Dakota rates for HCPCS L3650

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Prefabricated Off-The-Shelf(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.57 / $47.57 / $47.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.27 / $39.27 / $54.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.13 / $72.28 / $74.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.50 / $92.42 / $116.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.25 / $54.90 / $352.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $32.85 / $54.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.62 / $104.62 / $104.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $32.61 / $54.37