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North Carolina rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.92 / $400.92 / $813.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.97 / $400.92 / $400.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.87 / $518.25 / $984.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.04 / $404.00 / $404.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.20 / $393.88 / $393.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.56 / $287.52 / $768.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.49 / $400.92 / $620.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.00 / $303.00 / $378.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.00 / $653.00 / $1,003.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.46 / $268.73 / $421.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.42 / $3,141.18 / $3,141.18
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,174.24 / $3,174.24 / $4,080.98