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North Carolina rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.31 / $179.31 / $309.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.47 / $179.31 / $179.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.57 / $303.76 / $374.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.57 / $153.58 / $153.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $116.51 / $266.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $179.31 / $246.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.86 / $149.86 / $149.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.70 / $223.70 / $344.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $92.18 / $105.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.67 / $101.25 / $148.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.97 / $1,180.80 / $1,180.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.17 / $1,398.30 / $1,398.30