go back

North Dakota rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,995.26 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,801.89 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,388.44 / $16,982.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,698.24 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $5,370.32 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,454.71 / $3,981.07