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North Dakota rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $21,380 · 10th–90th $16,982–$42,6580%20%40%10th90th$21,380Professionalmedian $24,547 · 10th–90th $12,882–$33,8840%10%20%10th90th$24,547$10.0K$20.0K$50.0K$100.0K

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
$21,379.62 / $21,379.62 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $15,488.17 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $32,359.37 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $33,884.42 / $41,686.94
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $24,547.09 / $64,565.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,454.40 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $42,657.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $19,952.62 / $33,884.42