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North Dakota rates for HCPCS L6687

Upper Extremity Addition Frame Type Socket Below Elbow Or Wrist Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.59 / $671.59 / $671.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.88 / $579.88 / $671.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.09 / $1,020.48 / $1,045.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.50 / $810.53 / $1,019.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.11 / $671.59 / $3,605.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.83 / $518.09 / $735.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $456.41 / $456.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $518.09 / $821.67