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North Carolina rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $91.20 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $69.18 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $74.13 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $138.04 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $75.86 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $67.61 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $79.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $48.98 / $69.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $81.28 / $151.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $72.44 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $48.98 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $57.54 / $81.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96