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North Dakota rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.25 / $1,195.25 / $1,195.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.25 / $1,519.35 / $1,519.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.07 / $1,816.18 / $1,861.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.00 / $2,124.03 / $2,670.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.38 / $1,357.42 / $7,733.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.16 / $1,111.09 / $1,328.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.82 / $1,111.09 / $1,328.61