go back

North Dakota rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.83 / $841.83 / $841.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.83 / $1,169.51 / $1,169.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.86 / $1,279.15 / $1,310.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.88 / $1,635.06 / $2,055.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.10 / $927.76 / $6,077.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.97 / $865.88 / $962.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.84 / $865.88 / $962.09