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North Carolina rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.73 / $66.73 / $115.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $66.73 / $66.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $68.59 / $68.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.43 / $113.05 / $139.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.44 / $57.16 / $60.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $54.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $103.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.54 / $66.73 / $86.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $43.00 / $51.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.30 / $98.30 / $151.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.21 / $38.02 / $57.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.40 / $482.65 / $482.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.77 / $580.77 / $614.63