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North Carolina rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $34.67 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $91.20 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $46.77 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $36.31 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $43.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.90 / $39.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $53.70 / $89.13
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
$18.62 / $26.92 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.20 / $43.65
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $446.68