go back

North Dakota rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.32 / $866.32 / $866.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.32 / $1,130.85 / $1,130.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.35 / $1,316.38 / $1,349.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.25 / $1,580.90 / $1,987.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.32 / $954.88 / $5,705.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.38 / $818.56 / $962.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.28 / $594.04 / $948.75