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North Dakota rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,501.19 / $2,501.19 / $2,501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,437.19 / $2,437.19 / $2,501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,214.39 / $3,800.55 / $3,895.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,373.13 / $3,406.86 / $4,283.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.17 / $2,501.19 / $15,093.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.70 / $2,137.21 / $2,780.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.39 / $1,424.81 / $2,739.18