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North Dakota rates for HCPCS L4045

Replace Non-Molded Thigh Laser For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.63 / $323.63 / $323.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.77 / $256.77 / $323.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.91 / $491.76 / $503.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.25 / $432.53 / $543.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.51 / $323.63 / $1,940.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.63 / $204.69 / $354.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $204.69 / $354.42