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North Carolina rates for HCPCS L1860

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,862.09 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $954.99 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $758.58 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,000.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,096.48 / $1,819.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1,230.27 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $912.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $10,964.78