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North Dakota rates for HCPCS L4360

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $213.80 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $457.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $295.12 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $512.86 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $363.08