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North Dakota rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,892.10 / $4,892.10 / $4,892.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,892.10 / $5,290.92 / $5,290.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,287.04 / $7,433.50 / $7,618.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,323.00 / $7,396.23 / $9,300.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,043.92 / $5,290.92 / $29,802.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.15 / $4,177.27 / $5,437.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.56 / $4,177.27 / $5,357.60