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North Carolina rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,579.18 / $4,579.18 / $9,293.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,752.30 / $4,579.18 / $4,579.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,932.70 / $5,919.24 / $11,239.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,506.87 / $4,614.31 / $4,614.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,805.73 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $8,475.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.27 / $4,579.18 / $7,004.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,459.00 / $3,459.00 / $4,317.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,333.50 / $7,333.50 / $11,275.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.69 / $3,069.37 / $4,698.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,483.03 / $38,704.47 / $38,704.47
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,358.39 / $53,358.39 / $53,358.39