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North Carolina rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,412.15 / $3,412.15 / $6,924.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.86 / $3,412.15 / $3,412.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,675.58 / $4,410.70 / $8,374.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,613.13 / $3,438.33 / $3,438.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,835.83 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $3,670.30 / $6,577.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.53 / $3,412.15 / $5,229.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.00 / $2,578.00 / $3,217.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,500.50 / $5,500.50 / $8,458.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.20 / $2,287.12 / $3,588.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,531.93 / $29,034.76 / $29,034.76
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30,846.11 / $30,846.11 / $34,383.30