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North Dakota rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.01 / $7,084.01 / $7,084.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,053.73 / $8,470.41 / $8,470.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,103.95 / $10,764.09 / $11,031.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,723.63 / $11,840.86 / $14,889.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,850.82 / $7,175.03 / $42,519.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,819.98 / $5,994.22 / $7,859.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,816.13 / $12,816.13 / $12,816.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.94 / $5,994.22 / $9,506.79