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North Dakota rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.35 / $251.35 / $251.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.88 / $251.35 / $266.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.02 / $381.93 / $391.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.38 / $448.82 / $564.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.62 / $266.39 / $1,848.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.63 / $191.35 / $287.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $172.36 / $287.26