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North Dakota rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.89 / $1,610.89 / $1,610.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.89 / $1,834.40 / $1,834.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.21 / $2,447.71 / $2,508.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.13 / $2,564.52 / $3,224.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.98 / $1,713.97 / $10,198.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.09 / $1,464.12 / $1,790.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,130.40 / $3,130.40 / $3,130.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $1,464.12 / $2,190.07