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North Dakota rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.67 / $296.67 / $296.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.24 / $260.24 / $296.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.26 / $450.78 / $462.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.38 / $363.98 / $457.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.90 / $296.67 / $1,592.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.16 / $228.85 / $324.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.46 / $162.44 / $324.89