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North Dakota rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $114.82 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $112.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $75.86 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $53.70 / $93.33