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North Dakota rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,486.46 / $15,486.46 / $15,486.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,486.46 / $17,851.93 / $17,851.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,902.29 / $23,531.53 / $24,116.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,708.38 / $24,955.46 / $31,379.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,141.78 / $17,050.59 / $98,186.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,480.01 / $14,083.37 / $17,214.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,259.28 / $14,083.37 / $16,960.00