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North Dakota rates for HCPCS L5677

Additions to lower extremity, below knee (BK), knee joints, polycentric, pair

Facilitymedian $427 · 10th–90th $427–$9550%20%40%90th$427Professionalmedian $490 · 10th–90th $309–$7240%10%10th90th$490$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
$426.58 / $426.58 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $380.19 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $660.69 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $776.25 / $954.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $562.34 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $954.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $446.68 / $776.25