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North Carolina rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.51 / $302.51 / $521.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.31 / $302.51 / $302.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.01 / $332.41 / $631.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.92 / $259.11 / $259.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.71 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $444.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $302.51 / $406.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.00 / $194.00 / $234.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.60 / $414.60 / $637.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.53 / $172.36 / $259.63
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.50 / $2,188.04 / $2,188.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,887.16 / $2,887.16 / $2,887.16