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North Carolina rates for HCPCS L2116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.39 / $754.39 / $1,301.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.78 / $754.39 / $754.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.85 / $1,277.97 / $1,573.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.53 / $646.15 / $689.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $532.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $501.14 / $1,076.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.31 / $754.39 / $980.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.00 / $484.00 / $585.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.20 / $1,150.20 / $1,768.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.01 / $429.81 / $623.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.69 / $5,079.41 / $5,079.41
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,786.55 / $5,786.55 / $7,188.45