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North Dakota rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.35 / $238.35 / $238.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.68 / $272.25 / $272.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.31 / $362.17 / $371.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.88 / $380.64 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.68 / $238.35 / $1,389.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.75 / $199.43 / $261.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $199.43 / $261.48