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North Dakota rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.41 / $263.41 / $263.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.41 / $299.95 / $299.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.52 / $400.25 / $410.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.13 / $419.28 / $527.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.13 / $263.41 / $1,667.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.24 / $239.41 / $292.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.40 / $180.62 / $288.47