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North Dakota rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.01 / $2,174.01 / $2,174.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.01 / $2,770.64 / $2,770.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,793.91 / $3,303.38 / $3,385.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,834.75 / $3,873.10 / $4,870.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.12 / $2,562.42 / $14,469.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.44 / $2,061.29 / $2,416.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.91 / $1,815.91 / $1,815.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.13 / $1,375.21 / $2,380.87