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North Dakota rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.96 / $2,283.96 / $2,283.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.96 / $2,918.41 / $2,918.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,935.23 / $3,470.48 / $3,556.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,039.50 / $4,079.90 / $5,130.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.68 / $2,849.53 / $15,534.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.65 / $2,179.51 / $2,538.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.67 / $1,566.15 / $2,538.82