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North Dakota rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.40 / $1,305.40 / $1,305.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.14 / $1,127.14 / $1,305.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.63 / $1,983.55 / $2,032.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.00 / $1,575.60 / $1,981.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.16 / $1,305.40 / $7,424.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.46 / $1,007.02 / $1,429.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $714.81 / $1,429.61