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North Carolina rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.94 / $111.94 / $193.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.58 / $111.94 / $111.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.45 / $189.63 / $233.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.29 / $95.88 / $102.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $70.98 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $70.98 / $147.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.59 / $111.94 / $145.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $74.00 / $93.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.00 / $229.10 / $244.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.91 / $63.21 / $92.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.74 / $592.25 / $592.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.13 / $931.20 / $931.20