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North Dakota rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.50 / $744.50 / $744.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.85 / $740.87 / $744.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.79 / $1,131.26 / $1,159.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.25 / $1,035.50 / $1,302.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.02 / $744.50 / $4,009.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.33 / $574.33 / $815.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $407.67 / $815.34