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North Dakota rates for HCPCS L5638

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.62 / $566.62 / $566.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.37 / $652.33 / $652.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.19 / $860.97 / $882.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.00 / $912.03 / $1,146.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.25 / $566.62 / $3,083.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.13 / $437.11 / $620.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $388.54 / $620.54