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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

Facilitymedian $1,380 · 10th–90th $776–$3,4670%20%10th90th$1,380Professionalmedian $1,288 · 10th–90th $759–$1,4790%20%40%10th90th$1,288$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,230.27 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,445.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,023.29 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,479.11 / $2,570.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,318.26 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $870.96 / $1,348.96
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $13,182.57