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North Carolina rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,517.44 / $3,517.44 / $5,631.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.43 / $3,517.44 / $3,517.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,789.00 / $4,546.80 / $8,633.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,290.17 / $3,544.42 / $3,544.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $3,001.57 / $5,907.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,797.52 / $3,517.44 / $4,725.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,662.21 / $3,662.21 / $3,662.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,833.10 / $4,833.10 / $7,431.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.10 / $2,357.69 / $3,633.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,561.12 / $22,464.46 / $22,464.46
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,129.32 / $30,206.70 / $30,206.70