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North Dakota rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.09 / $120.09 / $120.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.09 / $133.58 / $133.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.31 / $182.45 / $186.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.88 / $186.72 / $234.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.91 / $133.58 / $840.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.76 / $119.35 / $133.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.04 / $79.56 / $132.61