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North Dakota rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,995.26 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,168.69 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,162.28 / $17,378.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,905.46 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $5,495.41 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,511.89 / $3,981.07