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North Carolina rates for HCPCS L2000

Knee-ankle-foot orthosis (KAFO), single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $870.96 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $575.44 / $794.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,023.29 / $1,698.24
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
$389.05 / $575.44 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $851.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $10,715.19