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North Carolina rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,647.85 / $1,647.85 / $2,842.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.34 / $1,647.85 / $1,647.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,508.80 / $1,810.56 / $3,437.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.68 / $1,411.42 / $1,411.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.09 / $1,277.46 / $1,277.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $2,407.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.11 / $1,647.85 / $2,169.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.00 / $1,058.00 / $1,279.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,008.50 / $3,008.50 / $4,629.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.48 / $938.86 / $1,424.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,763.79 / $11,918.65 / $11,918.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,434.81 / $12,434.81 / $18,818.93