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North Dakota rates for HCPCS L5966

Addition Endoskeletal System Hip Disarticulation Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.09 / $1,175.09 / $1,175.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.09 / $1,460.14 / $1,460.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.18 / $1,785.56 / $1,829.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.88 / $2,041.08 / $2,566.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.10 / $1,407.65 / $7,595.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.07 / $1,071.85 / $1,306.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.38 / $724.74 / $1,286.91