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North Carolina rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $93 · 10th–90th $46–$2290%10%20%10th90th$93Professionalmedian $72 · 10th–90th $47–$930%20%40%10th90th$72$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $79.43
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $64.57 / $69.18
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $93.33 / $154.88
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
$38.02 / $51.29 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $52.48 / $77.62
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $912.01