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North Dakota rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Facilitymedian $295 · 10th–90th $245–$5010%20%40%10th90th$295Professionalmedian $295 · 10th–90th $132–$4570%10%10th90th$295$100.0$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
$257.04 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $199.53 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $446.68 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $363.08 / $446.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $295.12 / $891.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $204.17 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $234.42 / $389.05