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North Dakota rates for HCPCS L3702

Elbow Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.89 / $232.89 / $232.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.87 / $169.87 / $232.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.29 / $353.87 / $362.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.13 / $370.80 / $466.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.83 / $232.89 / $1,474.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.53 / $156.66 / $255.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $156.66 / $258.88