go back

North Dakota rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $467.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $323.59 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $537.03 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $223.87 / $389.05