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North Dakota rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.88 / $189.88 / $189.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.88 / $291.47 / $291.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.03 / $288.52 / $295.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.50 / $407.54 / $512.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.03 / $234.31 / $1,446.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.98 / $195.31 / $217.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $172.06 / $172.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.95 / $196.18 / $347.98