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North Dakota rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.28 / $495.28 / $495.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.28 / $565.75 / $565.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.51 / $752.58 / $771.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.00 / $790.83 / $994.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.29 / $528.60 / $3,169.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.20 / $454.44 / $550.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $454.44 / $759.88