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North Dakota rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.27 / $334.27 / $334.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.27 / $434.84 / $434.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.57 / $507.91 / $520.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.88 / $607.89 / $764.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.75 / $434.84 / $2,344.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.04 / $333.18 / $371.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.08 / $229.21 / $370.20