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North Dakota rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.90 / $1,875.90 / $1,875.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.75 / $1,619.75 / $1,875.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.80 / $2,850.42 / $2,921.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.75 / $2,264.17 / $2,847.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.65 / $1,875.90 / $10,120.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.96 / $1,447.13 / $2,054.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $1,447.13 / $2,054.40