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North Dakota rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.33 / $206.33 / $206.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.33 / $234.27 / $234.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.17 / $313.52 / $321.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.38 / $327.62 / $411.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.30 / $234.27 / $1,528.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.99 / $209.30 / $232.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $209.30 / $314.64