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North Dakota rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.72 / $619.72 / $619.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.11 / $624.25 / $624.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.42 / $941.65 / $965.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.00 / $872.64 / $1,097.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.64 / $619.72 / $3,432.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.85 / $492.12 / $678.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.88 / $492.12 / $838.45