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North Dakota rates for HCPCS L3761

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.34 / $403.34 / $403.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.68 / $344.89 / $403.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.35 / $612.87 / $628.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.63 / $641.98 / $807.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.55 / $438.71 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.29 / $285.12 / $562.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $276.23 / $446.58