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North Dakota rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.01 / $5,897.01 / $5,897.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,381.58 / $6,123.10 / $6,123.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,578.49 / $8,960.45 / $9,183.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,475.00 / $8,559.75 / $10,763.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,066.61 / $6,032.28 / $34,402.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,039.20 / $4,573.24 / $6,458.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,777.96 / $9,777.96 / $9,777.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.55 / $4,573.24 / $6,458.12