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North Carolina rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $123.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $83.18 / $141.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $56.23 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $53.70 / $83.18
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $741.31