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North Dakota rates for HCPCS L6638

Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.50 / $2,220.50 / $2,220.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.50 / $2,528.64 / $2,528.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,853.65 / $3,374.02 / $3,457.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,499.88 / $3,534.87 / $4,444.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.77 / $2,362.57 / $14,058.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.89 / $2,018.17 / $2,468.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.96 / $1,345.45 / $2,431.77