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North Dakota rates for HCPCS L3720

Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.61 / $524.61 / $550.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.57 / $520.59 / $524.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.20 / $797.15 / $816.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.50 / $877.19 / $1,103.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.17 / $524.61 / $3,794.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.27 / $363.28 / $599.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $359.73 / $599.54