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North Dakota rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.49 / $170.49 / $170.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.49 / $216.63 / $216.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.10 / $259.05 / $265.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $303.00 / $381.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.03 / $176.32 / $1,083.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.36 / $156.03 / $189.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $107.53 / $186.71