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North Carolina rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $741.31 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $245.47 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $467.74 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $363.08 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $331.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $199.53 / $251.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $407.38 / $660.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $186.21 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $223.87 / $323.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78