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North Dakota rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.41 / $1,477.41 / $1,477.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.45 / $1,491.12 / $1,491.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.68 / $2,244.91 / $2,300.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.00 / $2,084.64 / $2,621.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.10 / $1,477.41 / $8,261.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.12 / $1,153.56 / $1,617.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.15 / $1,281.73 / $2,207.48