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North Dakota rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,649.91 / $2,649.91 / $2,649.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.91 / $4,067.67 / $4,067.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,405.52 / $4,026.52 / $4,126.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,629.88 / $5,686.17 / $7,149.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.50 / $3,595.49 / $18,963.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.03 / $2,725.62 / $3,028.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.39 / $2,725.62 / $4,322.82