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North Carolina rates for HCPCS L1940

Ankle-Foot Orthotic (Afo), Plastic Or Other Material, Custom Fab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.38 / $527.38 / $909.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.48 / $527.38 / $527.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.60 / $421.60 / $542.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.87 / $579.45 / $1,100.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.30 / $451.71 / $451.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.56 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $680.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.44 / $527.38 / $685.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $339.00 / $409.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.70 / $848.70 / $1,304.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.85 / $300.47 / $471.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.84 / $3,528.63 / $3,528.63
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,565.78 / $3,565.78 / $5,304.23