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North Carolina rates for HCPCS L3209

Surgical Boot Each Child (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.69 / $25.69 / $25.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.15 / $25.69 / $25.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.68 / $17.97 / $19.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $45.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $27.60 / $37.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $25.69 / $33.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.01 / $31.01 / $31.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $36.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.62 / $16.34 / $25.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $146.78 / $146.78
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.77 / $226.28 / $226.28