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North Carolina rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.74 / $271.74 / $551.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.33 / $271.74 / $271.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.70 / $351.25 / $666.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.11 / $273.83 / $273.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.84 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $471.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.59 / $271.74 / $411.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $205.00 / $257.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.60 / $513.60 / $789.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.79 / $182.14 / $280.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.76 / $2,312.30 / $2,312.30
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,760.30 / $2,760.30 / $3,209.93