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North Dakota rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $602.56 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $309.03 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $457.09 / $741.31