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North Carolina rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.90 / $59.90 / $103.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.34 / $59.90 / $59.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $61.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.32 / $101.48 / $124.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.17 / $51.30 / $54.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $118.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.72 / $59.90 / $77.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $38.00 / $46.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.50 / $88.50 / $136.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.04 / $33.82 / $50.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.40 / $365.94 / $365.94
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.48 / $398.48 / $553.28