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North Carolina rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $11.00 / $37.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $16.04 / $22.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00