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North Carolina rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.57 / $1,300.57 / $2,639.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.70 / $1,300.57 / $1,300.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.97 / $1,681.16 / $3,192.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.02 / $1,310.55 / $1,310.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.90 / $1,375.24 / $1,375.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,375.24 / $2,464.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.79 / $1,300.57 / $2,047.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.00 / $983.00 / $1,226.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.90 / $2,096.90 / $3,224.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.77 / $875.46 / $1,380.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,571.51 / $10,029.48 / $10,029.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,136.07 / $10,136.07 / $13,105.50