go back

North Dakota rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $213.80 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $346.74 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $177.83 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $575.44 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $426.58