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North Carolina rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.92 / $49.92 / $86.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $49.92 / $49.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.96 / $84.56 / $104.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $42.76 / $45.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $65.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $49.92 / $64.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $38.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.40 / $66.40 / $102.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.92 / $28.19 / $41.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.07 / $264.05 / $264.05
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.55 / $415.05 / $415.05