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North Dakota rates for HCPCS L5920

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.52 / $613.52 / $613.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.41 / $533.41 / $613.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.46 / $932.24 / $955.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.38 / $745.76 / $937.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.05 / $613.52 / $3,385.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.76 / $476.57 / $671.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.77 / $503.89 / $789.68