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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
$88.18 / $88.18 / $88.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.18 / $115.47 / $115.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.33 / $134.00 / $137.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.75 / $161.35 / $202.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.58 / $113.20 / $645.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.29 / $90.70 / $100.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $90.70 / $100.78