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North Carolina rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.87 / $164.87 / $284.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.39 / $164.87 / $164.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.54 / $279.29 / $343.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.32 / $141.21 / $141.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $116.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $110.15 / $204.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.77 / $164.87 / $221.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $106.00 / $128.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.50 / $211.50 / $325.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $93.94 / $144.75
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.04 / $1,023.20 / $1,023.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.40 / $1,163.40 / $1,322.03