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North Dakota rates for HCPCS L5694

Addition To Lower Extremity Above Knee Pelvic Control Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.61 / $176.61 / $176.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.61 / $182.38 / $182.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.96 / $268.35 / $275.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.38 / $254.90 / $320.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.39 / $182.38 / $1,167.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.53 / $162.94 / $196.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.42 / $162.94 / $193.41