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North Dakota rates for HCPCS L5701

Replacement Socket Above Knee/Knee Disarticulation Including Attachment Plate Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,307.29 / $3,307.29 / $3,307.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,307.29 / $3,847.77 / $3,847.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,250.33 / $5,025.39 / $5,150.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,325.75 / $5,379.01 / $6,763.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.98 / $3,847.77 / $21,140.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.49 / $3,053.93 / $3,676.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,529.56 / $6,529.56 / $6,529.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.71 / $1,909.84 / $3,621.99