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North Carolina rates for HCPCS L1860

Knee orthosis (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)

Facilitymedian $1,096 · 10th–90th $537–$2,6300%10%20%10th90th$1,096Professionalmedian $891 · 10th–90th $550–$1,0960%20%10th90th$891$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $812.83 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $758.58 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $977.24
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $616.60 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,096.48 / $1,819.70
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $1,230.27 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $602.56 / $1,023.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $616.60 / $912.01
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $10,964.78