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North Carolina rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.87 / $156.38 / $156.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.21 / $92.87 / $135.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $83.45 / $133.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.70 / $143.63 / $193.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $86.30 / $94.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $84.97 / $90.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.72 / $92.87 / $114.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.79 / $114.79 / $114.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.02 / $104.31 / $143.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.42 / $69.62 / $103.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $370.47 / $370.47
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.63 / $566.92 / $566.92