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North Dakota rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.42 / $271.42 / $271.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.42 / $326.64 / $326.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.81 / $412.42 / $422.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.88 / $550.32 / $691.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.90 / $326.64 / $2,011.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.63 / $195.45 / $310.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.46 / $184.46 / $184.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $206.63 / $310.19