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North Dakota rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.58 / $258.58 / $258.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $261.98 / $261.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.31 / $392.90 / $402.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.25 / $441.62 / $555.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.34 / $261.98 / $1,827.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.59 / $179.99 / $295.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.21 / $177.31 / $295.52