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North Carolina rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.89 / $283.89 / $576.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.42 / $283.89 / $283.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.29 / $343.29 / $343.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.81 / $366.97 / $696.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.42 / $286.07 / $286.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.96 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $442.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.85 / $283.89 / $448.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.00 / $214.00 / $268.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.29 / $610.29 / $938.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.58 / $191.10 / $298.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.86 / $2,003.74 / $2,003.74
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.42 / $2,517.42 / $3,814.28