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North Carolina rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.72 / $1,481.72 / $2,556.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.95 / $1,481.72 / $1,481.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.70 / $1,628.04 / $3,091.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.54 / $1,269.13 / $1,269.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.74 / $1,149.77 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,149.77 / $2,060.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.13 / $1,481.72 / $1,926.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.00 / $951.00 / $1,150.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.60 / $1,778.60 / $2,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.17 / $836.68 / $1,191.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,644.02 / $9,402.01 / $9,402.01
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,480.88 / $13,480.88 / $13,480.88