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North Dakota rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.69 / $687.69 / $687.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.78 / $593.78 / $687.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.78 / $1,044.94 / $1,070.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.00 / $830.22 / $1,043.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.26 / $687.69 / $3,692.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.73 / $530.51 / $753.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.78 / $560.91 / $797.52