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North Carolina rates for HCPCS L1950

Ankle-foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $645.65 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $676.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $426.58 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $741.31 / $1,258.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $416.87 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $630.96
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $8,317.64