go back

North Dakota rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $977.24 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,548.82 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $724.44 / $1,288.25