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North Dakota rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.52 / $357.52 / $357.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.47 / $310.47 / $357.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.47 / $543.25 / $556.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.75 / $434.05 / $545.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.62 / $357.52 / $1,982.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.11 / $277.39 / $391.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $277.39 / $391.54