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North Dakota rates for HCPCS L5985

All Endoskeletal Lower Extremity Protheses Dynamic Prosthetic Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.93 / $249.93 / $249.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.93 / $285.54 / $285.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.19 / $379.76 / $389.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.25 / $399.20 / $501.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.04 / $266.77 / $1,599.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.86 / $229.35 / $277.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $229.35 / $273.70