go back

North Dakota rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,454.71 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,819.70 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,479.11 / $2,344.23