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North Carolina rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.47 / $389.47 / $790.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.09 / $389.47 / $389.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.68 / $776.20 / $955.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $392.46 / $392.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.69 / $338.50 / $338.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $606.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.53 / $389.47 / $610.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $294.00 / $368.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.90 / $627.90 / $965.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.57 / $261.06 / $407.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.87 / $2,790.84 / $2,790.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,474.60 / $3,474.60 / $3,924.60