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North Dakota rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.43 / $301.43 / $301.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.43 / $355.47 / $355.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.38 / $458.02 / $469.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $496.92 / $624.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.39 / $355.47 / $2,227.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.06 / $310.04 / $344.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $310.04 / $344.49