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North Carolina rates for HCPCS L5642

Addition To Lower Extremity Above Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.48 / $553.48 / $1,123.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.55 / $553.48 / $553.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.21 / $715.45 / $1,358.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.87 / $557.72 / $557.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.00 / $387.20 / $950.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.50 / $553.48 / $837.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.00 / $418.00 / $522.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.90 / $1,064.90 / $1,637.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.02 / $370.99 / $571.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.60 / $3,966.04 / $3,966.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,937.72 / $4,937.72 / $6,655.88