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North Dakota rates for HCPCS L4002

Replacement strap, any orthosis, includes all components, any length, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $45.00 / $72.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $13.66 / $14.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $31.06 / $39.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.27 / $43.87 / $43.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.87 / $43.87 / $43.87