go back

North Dakota rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.69 / $1,644.69 / $1,644.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.69 / $1,771.06 / $1,771.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.65 / $2,499.08 / $2,561.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,451.38 / $2,475.89 / $3,113.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.85 / $1,644.69 / $10,228.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.07 / $1,529.51 / $1,828.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.44 / $1,347.44 / $1,347.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $1,127.79 / $1,801.19