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North Dakota rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,821.01 / $2,821.01 / $2,821.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.01 / $3,450.25 / $3,450.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,625.39 / $4,286.50 / $4,393.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.25 / $4,823.00 / $6,064.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.86 / $3,152.33 / $18,029.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.72 / $2,586.92 / $3,707.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.36 / $2,735.22 / $3,089.43