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North Dakota rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.63 / $677.63 / $677.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.13 / $683.87 / $683.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.85 / $1,029.65 / $1,055.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.50 / $955.97 / $1,202.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.06 / $677.63 / $3,703.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.56 / $522.74 / $742.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.33 / $522.74 / $742.10