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North Carolina rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Facilitymedian $186 · 10th–90th $93–$4790%10%20%10th90th$186Professionalmedian $162 · 10th–90th $93–$1860%50%10th90th$162$0.2$2.0$20.0$200.0$2.0K

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
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $144.54 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $165.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $107.15 / $154.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $190.55 / $323.59
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $208.93 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $107.15 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $158.49
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,584.89