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North Dakota rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,511.89 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,011.87 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,073.80 / $22,387.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,290.87 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,760.83 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,090.30 / $5,011.87