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North Dakota rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $14.95 / $14.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $14.37 / $14.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $22.69 / $23.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.24 / $30.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.66 / $14.95 / $96.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $10.22 / $16.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $10.25 / $21.90