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North Dakota rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Facilitymedian $13,804 · 10th–90th $12,882–$25,7040%20%40%10th90th$13,804Professionalmedian $14,791 · 10th–90th $7,413–$20,4170%10%10th90th$14,791$5.0K$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
$12,882.50 / $12,882.50 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,772.37 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,791.08 / $19,498.45 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $20,417.38 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,791.08 / $38,904.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $8,912.51 / $17,782.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $12,882.50 / $20,417.38