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North Dakota rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.24 / $1,851.24 / $1,851.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.24 / $2,478.41 / $2,478.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,379.11 / $2,812.94 / $2,882.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,430.50 / $3,464.81 / $4,356.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.04 / $1,851.24 / $11,959.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.70 / $1,710.08 / $2,057.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,710.08 / $2,027.39