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North Carolina rates for HCPCS L2397

Addition to lower extremity orthosis, suspension sleeve

Facilitymedian $115 · 10th–90th $58$2750%10%20%10th90th$115Professionalmedian $89 · 10th–90th $58$1150%20%40%10th90th$89$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $100.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $66.07 / $91.20
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $114.82 / $194.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $63.10 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $97.72
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,000.00