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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
$4,477.45 / $4,477.45 / $4,477.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,477.45 / $4,826.54 / $4,826.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.15 / $6,803.44 / $6,972.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,680.25 / $6,747.05 / $8,483.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,874.88 / $4,923.34 / $26,807.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.65 / $3,843.76 / $4,977.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.34 / $3,070.25 / $4,903.47