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North Carolina rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.97 / $464.97 / $802.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.71 / $464.97 / $464.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.74 / $510.88 / $970.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.68 / $398.26 / $398.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.48 / $387.54 / $387.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $387.54 / $694.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.11 / $464.97 / $604.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.00 / $299.00 / $361.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.20 / $592.20 / $911.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.17 / $264.92 / $377.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.58 / $3,128.68 / $3,128.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,671.42 / $3,671.42 / $3,705.00