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North Carolina rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $478.63 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $562.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $426.58 / $478.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $602.56 / $1,023.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $537.03 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $549.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $5,370.32