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North Carolina rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.40 / $241.40 / $416.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.03 / $241.40 / $241.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.13 / $408.94 / $503.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.08 / $206.76 / $220.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.52 / $190.78 / $190.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $190.78 / $344.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.01 / $241.40 / $313.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $187.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.00 / $313.00 / $481.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.96 / $137.54 / $199.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.94 / $1,445.66 / $1,445.66
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.77 / $1,463.77 / $1,956.30