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North Carolina rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.22 / $333.22 / $574.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.72 / $333.22 / $762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.67 / $564.49 / $695.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.87 / $285.41 / $304.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $211.27 / $438.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.90 / $333.22 / $433.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.00 / $219.00 / $276.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.30 / $443.30 / $681.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.57 / $188.16 / $268.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.61 / $1,762.49 / $1,762.49
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.35 / $2,770.58 / $2,770.58