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North Dakota rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.48 / $20.48 / $20.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.70 / $19.70 / $20.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $31.14 / $31.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.33 / $41.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $20.48 / $131.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $14.00 / $22.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $14.05 / $22.43