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North Dakota rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.06 / $160.06 / $160.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.63 / $196.11 / $196.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $243.21 / $249.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.50 / $274.22 / $344.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.27 / $160.06 / $917.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.61 / $131.41 / $175.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $131.41 / $208.41