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North Carolina rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.45 / $105.45 / $181.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.52 / $105.45 / $105.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.56 / $115.87 / $219.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.64 / $90.32 / $90.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.48 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $138.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $105.45 / $137.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $81.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.80 / $139.80 / $214.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $60.08 / $94.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.34 / $618.45 / $618.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.95 / $667.95 / $873.45