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North Dakota rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,297.15 / $5,297.15 / $5,297.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,297.15 / $5,624.18 / $5,624.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,807.58 / $8,048.96 / $8,249.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,784.25 / $7,862.09 / $9,886.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,176.51 / $5,624.18 / $32,412.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,791.56 / $4,539.38 / $5,888.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.52 / $3,632.33 / $7,199.42