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North Dakota rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $72.44 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $120.23 / $645.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $60.26 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $91.20 / $147.91