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North Carolina rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.23 / $571.23 / $1,159.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.57 / $571.23 / $571.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.32 / $738.38 / $1,402.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.46 / $575.60 / $575.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.74 / $572.20 / $572.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $1,025.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.19 / $571.23 / $864.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $432.00 / $539.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.80 / $1,222.80 / $1,888.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.07 / $382.88 / $600.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.95 / $4,423.43 / $4,423.43
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,096.03 / $5,096.03 / $7,674.75