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North Dakota rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.18 / $347.18 / $347.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.16 / $360.98 / $360.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.18 / $527.54 / $540.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.50 / $504.50 / $634.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.69 / $347.18 / $1,867.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $267.82 / $380.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.80 / $283.18 / $484.85