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North Dakota rates for HCPCS L6628

Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal

Facilitymedian $562 · 10th–90th $457$9550%50%10th90th$562Professionalmedian $575 · 10th–90th $269$8910%10%20%10th90th$575$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$794.33
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$575.44
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$436.52
Typical High
$812.83