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North Carolina rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.98 / $24.98 / $43.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.18 / $24.98 / $24.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.87 / $27.45 / $52.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $21.40 / $22.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $33.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $24.98 / $32.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $19.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $33.20 / $51.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $14.11 / $20.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $131.74 / $131.74
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.22 / $141.22 / $207.53