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North Carolina rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.18 / $170.18 / $293.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.98 / $170.18 / $170.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.81 / $186.97 / $355.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.79 / $145.77 / $145.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $96.18 / $295.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $170.18 / $221.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.00 / $109.00 / $132.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.10 / $229.10 / $352.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $96.96 / $149.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.43 / $986.48 / $986.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.39 / $1,145.39 / $1,431.75