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North Dakota rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.37 / $1,498.37 / $1,498.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.37 / $1,706.30 / $1,706.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.62 / $2,276.76 / $2,333.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,361.75 / $2,385.37 / $2,999.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.63 / $1,594.21 / $9,502.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.47 / $1,361.84 / $1,665.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.26 / $907.89 / $1,640.94