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North Carolina rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.97 / $53.97 / $93.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.49 / $53.97 / $53.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.42 / $59.31 / $112.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.61 / $46.23 / $49.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $34.22 / $34.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $34.22 / $70.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $53.97 / $70.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $71.80 / $110.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $30.47 / $44.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.32 / $285.48 / $285.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.61 / $448.80 / $448.80