go back

North Dakota rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,870.05 / $2,870.05 / $2,870.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.05 / $3,612.45 / $3,612.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.42 / $4,361.02 / $4,469.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,999.88 / $5,049.87 / $6,349.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,021.92 / $3,612.45 / $20,983.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.57 / $2,952.05 / $3,280.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.65 / $2,600.65 / $2,600.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.22 / $1,968.04 / $3,280.06