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North Carolina rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.31 / $1,439.31 / $2,921.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.09 / $1,439.31 / $1,439.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.44 / $1,860.53 / $3,532.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.31 / $1,450.35 / $1,595.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.20 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $2,241.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.83 / $1,439.31 / $2,177.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.00 / $1,087.00 / $1,357.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.60 / $2,320.60 / $3,568.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.96 / $964.75 / $1,486.65
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,867.60 / $11,298.40 / $11,298.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,840.43 / $12,840.43 / $14,503.50