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North Carolina rates for HCPCS A4500

Surgical Stockings Below Knee Length Each (Not Covered By Medicare. See Cim: 60-9 And Mcm: 2133 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.21 / $3.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.25 / $2.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.85 / $8.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $18.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $4.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.02 / $3.21
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $85.00 / $90.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.28 / $29.40 / $29.40