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North Carolina rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.87 / $100.87 / $204.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.79 / $100.87 / $100.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.45 / $201.03 / $247.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.25 / $101.64 / $101.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.82 / $89.19 / $89.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $89.19 / $159.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.04 / $100.87 / $159.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $96.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.60 / $151.60 / $233.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.94 / $67.89 / $106.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.55 / $767.65 / $767.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.97 / $799.97 / $947.55