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North Dakota rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,090.30 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,897.79 / $26,915.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,090.30 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $8,317.64 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,801.89 / $6,309.57