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North Dakota rates for HCPCS L3660

Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.60 / $107.60 / $107.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $36.50 / $107.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.29 / $163.50 / $167.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.25 / $132.56 / $166.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.58 / $107.60 / $589.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.11 / $62.76 / $117.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $62.76 / $117.83