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North Dakota rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,300.62 / $21,300.62 / $21,300.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,300.62 / $24,273.73 / $24,273.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,374.29 / $32,366.08 / $33,171.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33,597.00 / $33,932.97 / $42,668.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,755.60 / $22,679.53 / $134,932.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,663.70 / $19,401.49 / $23,677.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,482.01 / $41,482.01 / $41,482.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,622.87 / $14,606.14 / $23,327.39