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North Dakota rates for HCPCS L3670

Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $90.69 / $108.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $40.14 / $90.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.56 / $137.82 / $141.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $145.82 / $183.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.35 / $90.69 / $670.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.67 / $72.56 / $127.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.70 / $72.56 / $147.96