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North Dakota rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,226.68 / $3,226.68 / $3,226.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,226.68 / $3,674.44 / $3,674.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,146.74 / $4,902.91 / $5,024.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,085.75 / $5,136.60 / $6,458.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.89 / $3,433.15 / $20,504.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.85 / $2,932.69 / $3,586.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.90 / $2,945.77 / $3,533.70