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North Carolina rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.50 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $52.48 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.92 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $23.44 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $25.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.78 / $22.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $30.90 / $51.29
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
$10.72 / $15.49 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $17.38 / $25.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $257.04 / $257.04