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North Dakota rates for HCPCS L4387

Walking Boot Non-Pneumatic With Or Without Joints With Or Without Interface Material Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.50 / $318.89 / $475.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.85 / $106.85 / $140.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.57 / $213.49 / $218.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.63 / $223.84 / $281.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.72 / $149.13 / $889.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.94 / $135.03 / $195.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $94.52 / $156.18