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North Dakota rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $446.68 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $741.31 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,230.27 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $524.81 / $870.96