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North Carolina rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.92 / $393.92 / $679.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.63 / $393.92 / $393.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.85 / $667.32 / $821.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.43 / $337.40 / $337.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $278.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $218.27 / $391.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $393.92 / $512.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $253.00 / $305.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.79 / $539.79 / $830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.62 / $213.57 / $317.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.92 / $1,743.72 / $1,743.72
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.38 / $2,159.38 / $3,374.03