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North Carolina rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.04 / $362.04 / $624.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.52 / $362.04 / $362.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.50 / $397.80 / $755.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.85 / $310.08 / $310.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.76 / $273.20 / $273.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $273.20 / $564.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $362.04 / $470.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.00 / $232.00 / $281.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.90 / $556.90 / $856.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.47 / $206.27 / $323.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.21 / $2,618.63 / $2,618.63
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,280.95 / $3,280.95 / $3,480.83