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North Dakota rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.70 / $52.70 / $52.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $58.19 / $58.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $80.08 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.63 / $81.43 / $102.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.39 / $58.19 / $328.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.16 / $45.88 / $58.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $45.88 / $72.78