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North Dakota rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.94 / $315.94 / $315.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.79 / $272.79 / $315.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.03 / $480.07 / $492.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.63 / $381.40 / $479.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.58 / $315.94 / $1,717.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.40 / $243.72 / $345.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.22 / $244.81 / $386.54