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North Dakota rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.94 / $148.94 / $148.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.60 / $128.60 / $148.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.40 / $226.31 / $231.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.13 / $179.91 / $226.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.60 / $148.94 / $799.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.84 / $114.90 / $163.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.98 / $121.49 / $172.73