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North Dakota rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,630.27 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,495.41 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $4,168.69 / $22,908.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,511.89 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $7,244.36 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,311.31 / $5,248.07