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North Dakota rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.99 / $928.99 / $928.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.33 / $985.05 / $985.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.88 / $1,411.59 / $1,446.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.50 / $1,377.14 / $1,731.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.14 / $928.99 / $4,987.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.77 / $716.65 / $1,058.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.74 / $757.74 / $1,458.29