go back

North Dakota rates for HCPCS L5637

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.26 / $252.26 / $252.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.26 / $387.24 / $387.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.20 / $383.32 / $392.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.88 / $541.23 / $680.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.31 / $300.37 / $1,951.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.13 / $259.47 / $416.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.44 / $276.27 / $485.43