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North Dakota rates for HCPCS L5858

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

Facilitymedian $16,596 · 10th–90th $14,454–$32,3590%20%40%10th90th$16,596Professionalmedian $18,621 · 10th–90th $9,772–$26,3030%10%20%10th90th$18,621$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
$16,595.87 / $16,595.87 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $12,022.64 / $22,387.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $25,118.86 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $26,302.68 / $32,359.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $18,620.87 / $48,977.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $11,220.18 / $22,908.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $32,359.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $15,135.61 / $26,302.68