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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
$2,041.74 / $2,041.74 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,090.30 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,290.87 / $12,882.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,380.38 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,981.07 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,698.24 / $2,951.21