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North Dakota rates for HCPCS L2628

Addition To Lower Extremity Pelvic Control Metal Frame Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,830.97 / $1,830.97 / $1,830.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.47 / $1,311.47 / $1,830.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,353.05 / $2,782.13 / $2,851.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.13 / $2,210.01 / $2,778.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.95 / $1,830.97 / $10,013.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.70 / $1,045.41 / $2,005.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $1,045.41 / $2,005.19