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North Dakota rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,471.44 / $2,471.44 / $2,471.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,471.44 / $3,206.09 / $3,206.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,176.17 / $3,755.35 / $3,848.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,437.38 / $4,481.75 / $5,635.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.67 / $3,116.08 / $16,803.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.31 / $2,378.01 / $2,747.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.89 / $2,378.01 / $3,771.51