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North Dakota rates for HCPCS L5830

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic/ Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.99 / $1,656.99 / $1,656.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.99 / $2,009.06 / $2,009.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.46 / $2,517.78 / $2,580.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.63 / $2,808.43 / $3,531.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.38 / $2,009.06 / $12,123.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.33 / $1,704.33 / $1,893.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.65 / $1,814.65 / $2,974.26