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North Dakota rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.50 / $85.50 / $85.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.02 / $85.02 / $85.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.87 / $129.91 / $133.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.75 / $143.16 / $180.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.34 / $85.50 / $621.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $58.63 / $97.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.90 / $68.40 / $139.46