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North Dakota rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,344.07 / $3,344.07 / $3,344.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,344.07 / $3,808.10 / $3,808.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,297.60 / $5,081.28 / $5,207.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,270.63 / $5,323.33 / $6,693.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.13 / $3,677.09 / $21,171.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.13 / $3,039.35 / $3,717.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.20 / $2,026.24 / $3,717.19