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North Carolina rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,398.37 / $3,398.37 / $6,896.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.58 / $3,398.37 / $3,398.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,159.51 / $6,772.88 / $8,340.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,602.57 / $3,424.44 / $3,424.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,824.38 / $2,853.06 / $2,853.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,853.06 / $6,673.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.57 / $3,398.37 / $5,141.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,567.00 / $2,567.00 / $3,204.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,473.00 / $5,473.00 / $8,424.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.24 / $2,277.89 / $3,510.16
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,671.14 / $28,917.53 / $28,917.53
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30,317.74 / $30,317.74 / $34,244.40