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North Carolina rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $602.56 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $467.74 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $489.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $331.13 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $512.86 / $891.25
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
$257.04 / $457.09 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $467.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,570.88