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North Dakota rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,818.38 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,862.09 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $2,754.23