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North Dakota rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.15 / $579.15 / $579.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.06 / $500.06 / $579.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.29 / $880.01 / $901.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.25 / $699.17 / $879.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.13 / $579.15 / $3,301.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.21 / $446.77 / $634.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.21 / $496.41 / $740.30