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North Dakota rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,477.90 / $2,477.90 / $2,477.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.90 / $3,101.56 / $3,101.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,184.45 / $3,765.14 / $3,858.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,293.00 / $4,335.93 / $5,452.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,505.49 / $3,101.56 / $17,077.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.84 / $2,459.71 / $2,754.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.20 / $2,459.71 / $3,901.08