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North Dakota rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,407.84 / $3,407.84 / $3,407.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,407.84 / $3,943.24 / $3,943.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,379.56 / $5,178.18 / $5,306.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,457.75 / $5,512.33 / $6,931.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.52 / $3,884.27 / $21,225.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.76 / $3,044.30 / $3,788.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.07 / $2,336.80 / $3,732.10