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North Dakota rates for HCPCS L5160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,740.49 / $3,740.49 / $3,740.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,740.49 / $4,752.33 / $4,752.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,807.05 / $5,683.63 / $5,825.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,577.50 / $6,643.28 / $8,353.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.39 / $4,525.14 / $24,492.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.19 / $3,430.68 / $4,157.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.80 / $3,627.36 / $5,957.46