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North Dakota rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Facilitymedian $417 · 10th–90th $417–$9120%20%40%90th$417Professionalmedian $479 · 10th–90th $282–$7080%10%20%10th90th$479$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $630.96 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $891.25 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $562.34 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $436.52 / $891.25