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North Dakota rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.81 / $1,773.81 / $1,773.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.81 / $2,071.67 / $2,071.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.59 / $2,695.28 / $2,762.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,867.25 / $2,895.92 / $3,641.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.63 / $2,071.67 / $11,580.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.30 / $1,625.67 / $1,971.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,216.33 / $1,942.59