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North Carolina rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $22.39 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $35.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $23.99 / $41.69
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
$10.23 / $14.45 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $14.13 / $20.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $218.78 / $218.78