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North Dakota rates for HCPCS L5790

Addition, exoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.87 / $627.87 / $627.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.87 / $753.83 / $753.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.91 / $954.05 / $977.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.25 / $1,053.68 / $1,324.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.14 / $753.83 / $4,473.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.81 / $645.80 / $717.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $645.80 / $899.99