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North Carolina rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.65 / $1,284.65 / $2,607.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.13 / $1,284.65 / $1,284.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.36 / $2,560.28 / $3,153.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.83 / $1,294.51 / $1,294.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.67 / $1,232.72 / $1,232.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $2,209.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.90 / $1,284.65 / $2,044.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.00 / $971.00 / $1,211.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,530.50 / $2,530.50 / $3,890.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $861.09 / $1,326.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.56 / $10,924.72 / $10,924.72
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,391.63 / $11,391.63 / $15,815.55