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North Dakota rates for HCPCS L5650

Additions To Lower Extremity Total Contact Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.40 / $568.40 / $568.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.78 / $490.78 / $568.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.47 / $863.68 / $885.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.13 / $685.92 / $862.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.04 / $568.40 / $3,128.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.60 / $438.48 / $622.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.88 / $447.32 / $622.48