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North Dakota rates for HCPCS L5987

All Lower Extremity Prosthesis Shank Foot System With Vertical Loading Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,387.57 / $6,387.57 / $6,387.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,387.57 / $7,274.04 / $7,274.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,208.93 / $9,705.85 / $9,947.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,068.00 / $10,168.68 / $12,786.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,822.43 / $6,796.28 / $40,507.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,497.68 / $5,805.57 / $8,904.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,030.47 / $5,831.47 / $10,768.67