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North Dakota rates for HCPCS L5782

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System Heavy Duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.44 / $3,745.44 / $3,745.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,745.44 / $4,265.22 / $4,265.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,813.41 / $5,691.15 / $5,832.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,903.25 / $5,962.28 / $7,497.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.32 / $3,985.08 / $23,712.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.91 / $3,404.17 / $4,163.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.96 / $3,404.17 / $4,101.82