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North Dakota rates for HCPCS L5676

Additions To Lower Extremity Below Knee Knee Joints Single Axis Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.35 / $391.35 / $391.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.30 / $364.30 / $391.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.95 / $594.66 / $609.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.38 / $509.42 / $640.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.49 / $391.35 / $2,350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.82 / $325.48 / $428.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $216.98 / $428.59