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North Dakota rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $21.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $22.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.92 / $23.55 / $24.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $27.65 / $34.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $28.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.77 / $28.77 / $28.77