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North Dakota rates for HCPCS L6930

Below elbow, 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
$7,443.16 / $7,443.16 / $7,443.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,097.46 / $8,158.20 / $8,158.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,565.52 / $11,309.82 / $11,591.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,291.63 / $11,404.54 / $14,340.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,134.29 / $7,443.16 / $42,111.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,020.92 / $6,031.39 / $8,151.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,680.62 / $6,031.39 / $8,273.65