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North Dakota rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.61 / $507.61 / $507.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.30 / $438.30 / $507.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.36 / $771.32 / $790.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.75 / $612.82 / $770.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.29 / $507.61 / $2,725.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.55 / $391.59 / $555.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $391.59 / $555.91