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North Carolina rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.90 / $46.90 / $80.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.87 / $46.90 / $46.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.21 / $48.21 / $48.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.94 / $51.52 / $97.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $40.17 / $44.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.13 / $39.15 / $39.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $39.15 / $70.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $46.90 / $63.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $38.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $66.59 / $102.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.53 / $26.72 / $41.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.71 / $339.20 / $339.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.70 / $547.70 / $547.70