go back

North Dakota rates for HCPCS L5972

All Lower Extremity Prostheses Foot Flexible Keel (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.44 / $384.44 / $384.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.50 / $400.10 / $400.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.05 / $584.15 / $598.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.88 / $559.41 / $703.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.16 / $395.52 / $2,270.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.59 / $316.55 / $421.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.80 / $676.80 / $676.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.24 / $322.94 / $421.02