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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
$447.12 / $447.12 / $447.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.12 / $585.47 / $585.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.61 / $679.39 / $696.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.38 / $818.48 / $1,029.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.56 / $516.60 / $3,241.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.83 / $459.89 / $510.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.28 / $983.28 / $983.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $459.89 / $510.99