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North Dakota rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,691.53 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,041.74 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,548.13 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,621.81 / $2,570.40