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North Dakota rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.86 / $42.86 / $42.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.86 / $48.39 / $48.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $65.12 / $66.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $67.80 / $85.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.29 / $48.39 / $305.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $43.23 / $48.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $43.23 / $64.98