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North Dakota rates for HCPCS L6884

Replacement Socket Above Elbow/Elbow Disarticulation Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.50 / $1,949.50 / $1,949.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.50 / $2,748.28 / $2,748.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,505.39 / $2,962.26 / $3,035.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,804.00 / $3,842.04 / $4,831.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.90 / $2,182.58 / $14,087.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.50 / $2,005.20 / $2,228.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.20 / $1,364.11 / $2,228.00