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North Dakota rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.69 / $158.69 / $158.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.69 / $201.95 / $201.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.95 / $241.14 / $247.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.38 / $282.17 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.88 / $187.34 / $1,135.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $152.77 / $176.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $101.84 / $173.80