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North Dakota rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.91 / $82.91 / $82.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.91 / $83.17 / $83.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.55 / $125.98 / $129.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.75 / $140.13 / $176.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.88 / $83.17 / $593.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $56.85 / $94.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $66.33 / $134.66