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North Carolina rates for HCPCS L2126

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Thermoplastic Type Casting Material Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.27 / $1,342.27 / $2,315.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.45 / $1,342.27 / $1,342.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.46 / $2,273.85 / $2,800.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.76 / $1,149.69 / $1,149.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $948.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $1,783.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.49 / $1,342.27 / $1,744.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.00 / $862.00 / $1,042.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.50 / $2,158.50 / $3,318.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.04 / $757.93 / $1,108.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.10 / $7,331.10 / $7,331.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,633.90 / $8,633.90 / $13,490.48