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North Dakota rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,558.37 / $4,558.37 / $4,558.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,558.37 / $4,849.53 / $4,849.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,858.16 / $6,926.41 / $7,098.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,712.13 / $6,779.25 / $8,524.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,287.37 / $4,849.53 / $27,462.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.04 / $3,902.28 / $5,066.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.35 / $3,902.28 / $4,992.10