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North Carolina rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.35 / $387.35 / $668.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.07 / $387.35 / $387.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.66 / $364.96 / $398.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.99 / $656.19 / $808.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.98 / $331.78 / $364.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.64 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $345.03 / $513.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.47 / $387.35 / $503.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.00 / $249.00 / $300.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.80 / $707.80 / $1,088.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.56 / $220.69 / $334.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.73 / $2,801.65 / $2,801.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,730.68 / $3,730.68 / $4,423.64