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Above Knee (AK), Proximal Femoral Focal Deficiency

North Dakota rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Rates data updated October 2026.

How much does Above Knee (AK), Proximal Femoral Focal Deficiency cost?

$5,754

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $5,754 from a physician practice, and about $4,467 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,754$4,467 to $6,761
FacilityA hospital or hospital-owned outpatient department$4,467$4,467 to $4,786

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,884 to $10,965Professionalmedian $5,754 · 10th to 90th $2,399 to $6,918
$2K$5K$10K$20Kfacility $4,467professional $5,754

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$4,466.84
Typical High
$4,786.30
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$6,760.83
Typical High
$6,918.31
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$6,165.95
Median
$8,128.31
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$6,606.93
Typical High
$8,317.64
Medica
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$4,466.84
Typical High
$24,547.09
Medica
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,467.37
Typical High
$4,897.79
United
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$3,467.37
Typical High
$4,897.79

Where North Dakota sits

The same service costs 3.4 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 5th of 51

$5,754

HI $7,079DE $2,089

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.