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North Carolina rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.19 / $455.19 / $785.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.21 / $455.19 / $455.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.58 / $771.12 / $949.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.31 / $389.88 / $389.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.56 / $379.04 / $379.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.25 / $276.70 / $661.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.43 / $455.19 / $598.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.00 / $292.00 / $353.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.90 / $728.90 / $1,120.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.92 / $259.33 / $390.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.09 / $2,777.77 / $2,777.77
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,176.29 / $3,176.29 / $4,555.43