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North Dakota rates for HCPCS L6925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,640.39 / $7,640.39 / $7,640.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,640.39 / $9,049.23 / $9,049.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,818.96 / $11,609.49 / $11,898.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,525.00 / $12,650.25 / $15,906.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,066.13 / $8,188.74 / $48,028.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,033.58 / $6,920.24 / $8,492.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,612.32 / $7,316.97 / $10,975.46