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North Dakota rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.63 / $1,003.63 / $1,003.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.63 / $1,341.85 / $1,341.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.81 / $1,525.01 / $1,562.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.38 / $1,875.95 / $2,358.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.19 / $1,155.14 / $7,109.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.57 / $1,028.33 / $1,142.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.78 / $1,087.29 / $1,986.52