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North Carolina rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.65 / $572.59 / $987.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.91 / $572.59 / $572.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.70 / $969.98 / $1,194.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.39 / $490.43 / $523.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.49 / $408.60 / $408.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $882.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $572.59 / $744.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.00 / $368.00 / $444.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.50 / $1,045.50 / $1,607.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.64 / $326.23 / $494.97
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.82 / $4,141.43 / $4,141.43
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,644.63 / $4,644.63 / $6,534.08