go back

North Dakota rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.03 / $584.03 / $584.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.28 / $504.28 / $584.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.56 / $887.43 / $909.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.88 / $704.85 / $886.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.66 / $584.03 / $3,201.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.30 / $450.54 / $639.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.24 / $452.54 / $677.31