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North Carolina rates for HCPCS L1900

Ankle-foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $501.19 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $263.03 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $190.55 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $275.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $194.98 / $204.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $295.12 / $478.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $331.13 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $151.36 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $239.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $2,290.87