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North Dakota rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.09 / $91.09 / $91.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.09 / $120.65 / $120.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.06 / $138.41 / $141.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.88 / $168.54 / $211.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.89 / $120.65 / $682.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $93.69 / $104.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.54 / $82.54 / $82.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $93.69 / $104.10