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North Dakota rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.43 / $70.43 / $70.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.38 / $66.38 / $70.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.51 / $107.01 / $109.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $111.73 / $140.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.06 / $70.43 / $510.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $48.29 / $79.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.32 / $75.59 / $107.48