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North Dakota rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.72 / $169.72 / $169.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.51 / $169.72 / $197.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.12 / $257.89 / $264.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.88 / $332.16 / $417.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.70 / $170.53 / $1,107.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.37 / $117.90 / $185.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.13 / $106.10 / $188.67