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North Dakota rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.76 / $66.76 / $66.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.76 / $76.05 / $76.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $101.44 / $103.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.38 / $106.43 / $133.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.96 / $71.04 / $423.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.56 / $60.67 / $74.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $45.78 / $73.12