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North Dakota rates for HCPCS L5585

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,527.33 / $2,527.33 / $2,527.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,527.33 / $3,329.94 / $3,329.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,247.99 / $3,840.27 / $3,935.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,608.75 / $4,654.84 / $5,853.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.02 / $2,666.15 / $16,090.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.91 / $2,298.05 / $2,809.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.36 / $2,298.05 / $3,644.70