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North Carolina rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.87 / $344.87 / $594.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.15 / $344.87 / $344.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.79 / $584.22 / $719.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.49 / $295.39 / $295.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.62 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.10 / $573.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.85 / $344.87 / $448.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.00 / $221.00 / $277.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.60 / $505.60 / $777.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.96 / $196.49 / $308.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.52 / $2,095.14 / $2,095.14
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.81 / $2,498.81 / $3,160.05