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North Carolina rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.05 / $1,216.05 / $2,467.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.91 / $1,216.05 / $1,216.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.41 / $2,423.57 / $2,984.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.29 / $1,225.38 / $1,225.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.65 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $808.52 / $2,056.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.02 / $1,216.05 / $1,935.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.00 / $919.00 / $1,147.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.10 / $1,956.10 / $3,007.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.71 / $818.56 / $1,278.76
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,086.36 / $8,561.92 / $8,561.92
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,758.78 / $10,758.78 / $12,225.90