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North Dakota rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.77 / $242.77 / $242.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.77 / $299.75 / $299.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.99 / $368.89 / $378.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.75 / $418.90 / $526.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.04 / $281.47 / $1,729.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.94 / $249.71 / $333.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.98 / $219.98 / $219.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.33 / $166.47 / $396.03