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North Carolina rates for HCPCS L5639

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.58 / $1,001.58 / $2,032.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.92 / $1,001.58 / $1,001.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.90 / $1,294.68 / $2,458.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.04 / $1,009.26 / $1,009.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.41 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $1,560.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.41 / $1,001.58 / $1,515.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.00 / $757.00 / $945.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.19 / $2,057.19 / $3,163.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.46 / $674.19 / $1,053.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,195.32 / $8,522.69 / $8,522.69
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,343.84 / $10,343.84 / $12,857.48