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North Dakota rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.99 / $427.99 / $427.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.99 / $555.12 / $555.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.04 / $650.34 / $666.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.38 / $776.06 / $975.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.82 / $510.98 / $2,807.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.36 / $403.10 / $475.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.42 / $426.21 / $695.89