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North Dakota rates for HCPCS L5220

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Articulated Ankle/Foot Dynamically Aligned Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,631.71 / $2,631.71 / $2,631.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,631.71 / $3,214.82 / $3,214.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,382.13 / $3,998.87 / $4,098.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,449.75 / $4,494.25 / $5,651.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.71 / $3,214.82 / $17,674.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.06 / $2,477.41 / $2,925.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.50 / $2,182.50 / $2,182.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.07 / $2,477.41 / $2,882.12