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North Dakota rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,122.02 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,819.70 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $831.76 / $1,445.44