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North Dakota rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,396.54 / $3,396.54 / $3,396.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,396.54 / $4,328.35 / $4,328.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.04 / $5,161.02 / $5,289.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,990.63 / $6,050.53 / $7,608.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,175.98 / $4,113.79 / $22,345.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.87 / $3,154.13 / $3,775.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.84 / $3,154.13 / $5,002.43