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North Carolina rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $303.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.72 / $175.81 / $175.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.99 / $193.19 / $366.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.53 / $150.59 / $160.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $124.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $121.82 / $218.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.83 / $175.81 / $235.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $113.00 / $136.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.50 / $330.27 / $348.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.36 / $99.28 / $141.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.73 / $945.96 / $945.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.54 / $1,164.54 / $1,415.85