go back

North Dakota rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,184.74 / $3,184.74 / $3,184.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,184.74 / $4,268.32 / $4,268.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,092.84 / $4,839.18 / $4,959.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,907.75 / $5,966.83 / $7,502.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,986.64 / $3,877.02 / $21,089.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.88 / $2,962.65 / $3,540.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.73 / $2,962.65 / $3,487.76