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North Dakota rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.99 / $877.99 / $877.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.99 / $1,159.42 / $1,159.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.33 / $1,334.10 / $1,367.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.63 / $1,620.67 / $2,037.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.24 / $963.43 / $5,814.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.77 / $834.35 / $975.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.52 / $851.18 / $1,384.22