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North Dakota rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,030.99 / $2,030.99 / $2,030.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.99 / $2,312.83 / $2,312.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.10 / $3,086.06 / $3,162.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,201.00 / $3,233.01 / $4,065.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.30 / $2,030.99 / $12,858.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.11 / $1,845.93 / $2,257.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,845.93 / $2,224.23