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North Dakota rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.30 / $1,557.30 / $1,557.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.50 / $1,485.55 / $1,557.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.35 / $2,366.30 / $2,425.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.13 / $2,076.69 / $2,611.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.83 / $1,557.30 / $8,447.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.36 / $1,219.88 / $1,705.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.76 / $1,219.88 / $1,773.59