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North Carolina rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.62 / $227.62 / $461.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.81 / $227.62 / $227.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.61 / $453.65 / $558.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.91 / $229.36 / $229.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.17 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $360.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.50 / $227.62 / $344.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $172.00 / $215.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.30 / $489.30 / $752.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.14 / $153.22 / $235.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.64 / $1,631.04 / $1,631.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.64 / $2,030.64 / $3,058.20