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North Dakota rates for HCPCS L4350

Ankle Control Orthosis Stirrup Style Rigid Includes Any Type Interface (E.G. Pneumatic Gel)Prefabricated Off-The-Shelf (Revised 01/01/14) D 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.49 / $60.49 / $81.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $111.32 / $114.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $136.35 / $171.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.07 / $81.00 / $535.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $58.62 / $110.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.34 / $55.78 / $116.57