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North Carolina rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Facilitymedian $52 · 10th–90th $25–$1200%20%10th90th$52Professionalmedian $40 · 10th–90th $26–$520%20%10th90th$40$0.1$0.5$5.0$50.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $39.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $30.90 / $39.81
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $53.70 / $89.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $27.54 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.20 / $43.65
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $446.68