go back

North Dakota rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.88 / $653.88 / $653.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.91 / $590.91 / $653.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.32 / $993.55 / $1,018.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.88 / $826.05 / $1,038.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.37 / $653.88 / $3,726.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.30 / $527.94 / $716.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $358.05 / $716.09