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North Carolina rates for HCPCS L5560

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Facilitymedian $1,820 · 10th–90th $1,047–$4,6770%20%10th90th$1,820Professionalmedian $1,738 · 10th–90th $1,023–$1,8200%20%40%10th90th$1,738$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$1,737.80 / $1,737.80 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,584.89 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,905.46
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,548.82 / $1,548.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,949.84 / $3,388.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,737.80 / $1,905.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,174.90 / $1,778.28
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $12,589.25
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $20,417.38