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North Dakota rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,046.29 / $2,046.29 / $2,046.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,046.29 / $2,536.78 / $2,536.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,629.77 / $3,109.32 / $3,186.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,511.13 / $3,546.24 / $4,459.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.55 / $2,277.94 / $12,494.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.50 / $1,779.98 / $2,274.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.10 / $1,787.92 / $3,028.63