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North Dakota rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.21 / $391.21 / $391.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.80 / $337.80 / $391.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.77 / $594.45 / $609.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.63 / $472.30 / $593.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.84 / $391.21 / $2,277.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.67 / $301.80 / $428.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $268.26 / $428.44