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North Dakota rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.53 / $2,029.53 / $2,029.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.53 / $2,758.78 / $2,758.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.23 / $3,083.85 / $3,160.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,818.25 / $3,856.43 / $4,849.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.77 / $2,587.27 / $14,630.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.32 / $2,087.51 / $2,319.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.78 / $2,087.51 / $2,319.46