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North Dakota rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.04 / $1,472.04 / $1,472.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.04 / $1,780.64 / $1,780.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.77 / $2,236.73 / $2,292.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,464.50 / $2,489.15 / $3,129.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.52 / $1,591.65 / $9,328.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.05 / $1,307.64 / $1,636.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.16 / $1,307.64 / $1,612.10