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North Carolina rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $18 · 10th–90th $9–$440%10%20%10th90th$18Professionalmedian $13 · 10th–90th $9–$180%20%40%10th90th$13$1.0$5.0$20.0$100.0$500.0

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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.75 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $14.45
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $10.47 / $13.49
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $18.20 / $30.90
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $20.42 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $9.12 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.23 / $14.79
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $151.36