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North Dakota rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.24 / $1,398.24 / $1,398.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.29 / $1,437.93 / $1,437.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.93 / $2,124.61 / $2,177.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.13 / $2,010.03 / $2,527.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.61 / $1,398.24 / $7,578.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.72 / $1,078.64 / $1,531.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.04 / $765.64 / $1,531.28