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North Carolina rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.55 / $449.55 / $912.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.20 / $449.55 / $449.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.27 / $581.13 / $1,103.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.50 / $453.00 / $498.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.63 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.89 / $367.78 / $903.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.13 / $449.55 / $680.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.00 / $340.00 / $424.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.30 / $843.30 / $1,296.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.84 / $301.33 / $472.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.40 / $3,699.35 / $3,699.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,878.47 / $3,878.47 / $5,270.63