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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
$1,479.11 / $1,548.82 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,344.23 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $8,511.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,630.27 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,230.27 / $2,041.74