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North Dakota rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,772.95 / $2,772.95 / $2,772.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,772.95 / $3,157.76 / $3,157.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,563.64 / $4,213.47 / $4,318.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,370.63 / $4,414.33 / $5,550.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.36 / $2,950.37 / $17,719.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.41 / $2,536.08 / $3,082.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.82 / $2,817.87 / $4,674.82