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North Carolina rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,144.98 / $2,144.98 / $4,353.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.24 / $2,144.98 / $2,144.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.61 / $2,772.73 / $5,264.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.70 / $2,161.44 / $2,161.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.71 / $2,084.13 / $2,084.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $2,084.13 / $3,834.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.16 / $2,144.98 / $3,414.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $2,022.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,523.30 / $3,523.30 / $5,417.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.80 / $1,815.91 / $2,117.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.16 / $1,437.76 / $2,255.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,557.17 / $15,180.10 / $15,180.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,186.59 / $17,186.59 / $22,020.60