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North Dakota rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.64 / $411.64 / $411.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.64 / $468.78 / $468.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.01 / $625.48 / $641.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.75 / $655.24 / $823.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.35 / $437.98 / $2,615.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.41 / $374.14 / $457.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $374.14 / $450.81