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North Dakota rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.52 / $277.52 / $277.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.52 / $319.48 / $319.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $421.67 / $432.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.13 / $446.55 / $561.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.66 / $305.83 / $2,003.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.96 / $285.44 / $381.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.86 / $190.30 / $452.70