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North Dakota rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.12 / $45.12 / $45.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.92 / $39.92 / $45.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.98 / $68.55 / $70.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.13 / $55.68 / $70.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.57 / $45.12 / $253.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $35.65 / $49.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $35.82 / $53.62