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North Carolina rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.86 / $596.86 / $1,029.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.50 / $596.86 / $596.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.49 / $655.79 / $1,245.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.56 / $511.23 / $562.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $786.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.06 / $596.86 / $775.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.00 / $410.00 / $463.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.66 / $794.10 / $1,220.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.08 / $337.03 / $493.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.06 / $3,157.08 / $3,157.08
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,413.19 / $3,413.19 / $4,962.89