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North Dakota rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,630.27 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $6,606.93 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,365.16 / $23,442.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,951.21 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,244.36 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,162.28 / $5,248.07