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North Dakota rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,781.40 / $2,781.40 / $2,781.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,781.40 / $4,269.50 / $4,269.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,574.49 / $4,226.31 / $4,331.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,909.25 / $5,968.34 / $7,504.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.77 / $3,773.81 / $19,929.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.03 / $2,860.87 / $3,178.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.50 / $2,860.87 / $4,537.32