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North Dakota rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$331

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $251 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$251 to $389
FacilityA hospital or hospital-owned outpatient department$251$251 to $389

How much rates vary

Facilitymedian $251 · 10th to 90th $251 to $427Professionalmedian $331 · 10th to 90th $209 to $427
$200$500$1Kfacility $251professional $331

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$537.03
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$346.74
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$537.03

Where North Dakota sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 9th of 51

$331

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.