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North Dakota rates for HCPCS L3740

Elbow Orthosis Double Upright With Forearm/Arm Cuffs Adjustable Position Lock With Active Control Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.20 / $857.20 / $857.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.65 / $818.65 / $857.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.63 / $1,302.51 / $1,334.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.75 / $1,379.41 / $1,734.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.88 / $857.20 / $6,310.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.38 / $682.29 / $1,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.24 / $685.76 / $1,178.21