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North Dakota rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.90 / $2,411.90 / $2,411.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.67 / $2,521.09 / $2,521.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,099.64 / $3,664.86 / $3,756.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,489.38 / $3,524.27 / $4,431.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.04 / $2,521.09 / $14,301.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.44 / $2,049.44 / $2,681.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.79 / $2,277.15 / $3,732.29