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North Carolina rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.77 / $472.77 / $959.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.03 / $472.77 / $472.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.64 / $571.67 / $571.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.26 / $611.11 / $1,160.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.06 / $476.40 / $476.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.91 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.33 / $335.73 / $802.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.32 / $472.77 / $752.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $357.00 / $446.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.80 / $725.80 / $1,118.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.47 / $316.89 / $479.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.33 / $3,426.22 / $3,426.22
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,002.47 / $4,002.47 / $4,548.22