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North Carolina rates for HCPCS L2390

Addition To Lower Extremity Offset Knee Joint Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.99 / $107.99 / $186.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.64 / $107.99 / $107.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.87 / $118.65 / $225.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.29 / $92.49 / $92.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.29 / $79.77 / $79.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $79.77 / $142.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.72 / $107.99 / $140.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $69.00 / $83.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.69 / $157.69 / $242.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.27 / $61.52 / $94.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.53 / $781.04 / $781.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.46 / $940.46 / $985.88