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North Carolina rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.89 / $1,616.89 / $3,281.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.31 / $1,616.89 / $1,616.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.15 / $1,955.15 / $1,955.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.05 / $3,222.42 / $3,968.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.42 / $1,629.29 / $1,792.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.79 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $2,867.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $1,616.89 / $2,555.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.00 / $1,222.00 / $1,525.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.90 / $2,606.90 / $4,008.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.15 / $1,083.78 / $1,700.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,155.22 / $13,749.35 / $13,749.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,894.08 / $13,894.08 / $16,292.93