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North Carolina rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.87 / $108.87 / $108.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.97 / $108.87 / $108.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.69 / $76.16 / $83.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $139.08 / $350.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.24 / $108.87 / $141.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $261.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $154.19 / $154.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.70 / $68.27 / $108.76
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.84 / $621.91 / $621.91
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.88 / $958.95 / $958.95