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North Dakota rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,773.00 / $2,773.00 / $2,773.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,773.00 / $2,979.62 / $2,979.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,563.69 / $4,213.54 / $4,318.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,123.88 / $4,165.10 / $5,237.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.94 / $2,849.16 / $17,754.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.06 / $2,536.41 / $3,082.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $2,536.41 / $3,036.84