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North Dakota rates for HCPCS L5795

Addition Exoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.58 / $937.58 / $937.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.58 / $1,079.40 / $1,079.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.93 / $1,424.65 / $1,460.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.00 / $1,508.94 / $1,897.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.47 / $1,073.98 / $6,807.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.40 / $964.37 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.90 / $2,061.90 / $2,061.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $642.91 / $1,071.52