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North Carolina rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.51 / $4,614.51 / $9,365.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,773.54 / $4,614.51 / $4,614.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,970.76 / $5,964.91 / $11,325.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,533.94 / $4,649.92 / $4,649.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,835.12 / $4,865.01 / $4,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $8,718.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.15 / $4,614.51 / $6,981.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,486.00 / $3,486.00 / $4,350.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,407.60 / $7,407.60 / $11,389.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,376.40 / $3,093.05 / $4,852.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,759.34 / $39,095.40 / $39,095.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,778.75 / $47,778.75 / $47,778.75