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North Carolina rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.22 / $18.22 / $31.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $18.22 / $18.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.70 / $20.04 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $15.62 / $16.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $24.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $18.22 / $23.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $14.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $22.49 / $34.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.10 / $9.11 / $9.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $10.30 / $14.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $96.08 / $96.08
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.06 / $103.06 / $151.35