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North Carolina rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.27 / $105.27 / $181.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.15 / $105.27 / $105.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.53 / $178.33 / $219.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.53 / $90.17 / $90.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $74.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.43 / $141.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $105.27 / $136.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $81.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.20 / $175.20 / $269.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $59.98 / $88.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.96 / $744.23 / $744.23
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.57 / $775.57 / $1,094.78