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North Dakota rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $42.66 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $81.28 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $72.44 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $120.23 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $51.29 / $85.11