go back

North Dakota rates for HCPCS L6882

Microprocessor Control Feature Addition To Upper Limb Prosthetic Terminal Device (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,753.63 / $2,753.63 / $2,753.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.63 / $3,135.75 / $3,135.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,538.80 / $4,184.10 / $4,288.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,340.25 / $4,383.64 / $5,512.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,647.81 / $2,929.79 / $17,433.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.82 / $2,502.71 / $3,060.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.32 / $1,668.47 / $3,015.64