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North Carolina rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.15 / $75.15 / $75.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $75.15 / $75.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.80 / $52.57 / $57.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $142.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $75.15 / $102.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $43.50 / $116.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.50 / $106.50 / $106.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $48.04 / $73.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.37 / $429.26 / $429.26
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.46 / $661.95 / $661.95