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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
$1,773.78 / $1,773.78 / $1,773.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.78 / $2,019.99 / $2,019.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.55 / $2,695.23 / $2,762.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.00 / $2,823.96 / $3,550.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.49 / $1,887.34 / $11,271.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.28 / $1,612.21 / $1,971.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.56 / $1,619.40 / $2,411.64