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North Carolina rates for HCPCS L2192

Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $398.11 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $309.03 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $331.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $223.87 / $309.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $354.81 / $602.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $199.53 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $302.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,801.89