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North Carolina rates for HCPCS L1730

Legg Perthes orthosis, (Scottish Rite type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.92 / $1,117.92 / $1,928.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.07 / $1,117.92 / $1,117.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.60 / $1,228.32 / $2,332.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.71 / $957.52 / $957.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.75 / $1,057.34 / $1,057.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.87 / $1,057.34 / $1,739.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.67 / $1,117.92 / $1,459.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $718.00 / $868.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.10 / $1,571.10 / $2,415.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.36 / $636.92 / $965.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.31 / $8,075.38 / $8,075.38
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,943.96 / $9,943.96 / $9,943.96