go back

North Dakota rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.34 / $416.34 / $416.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.34 / $639.09 / $639.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.07 / $632.64 / $648.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.63 / $893.47 / $1,123.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.73 / $525.66 / $3,080.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.98 / $428.24 / $475.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.61 / $915.61 / $915.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $428.24 / $572.26