go back

North Carolina rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,051.21 / $2,051.21 / $3,538.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.11 / $2,051.21 / $2,051.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.14 / $2,253.77 / $4,279.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.88 / $1,756.91 / $1,874.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $3,376.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.35 / $2,051.21 / $2,666.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.00 / $1,310.00 / $1,592.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,728.90 / $2,728.90 / $4,195.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.31 / $1,168.66 / $1,833.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.22 / $10,889.80 / $10,889.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,730.04 / $11,730.04 / $17,055.45