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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
$924.06 / $924.06 / $924.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.06 / $1,133.49 / $1,133.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.55 / $1,404.11 / $1,439.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.00 / $1,584.69 / $1,992.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.13 / $1,085.76 / $5,917.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.19 / $841.17 / $1,027.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.08 / $562.61 / $1,011.99