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North Carolina rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.40 / $242.40 / $491.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.19 / $242.40 / $242.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.69 / $483.11 / $594.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.64 / $244.27 / $244.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.46 / $203.51 / $203.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $377.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.90 / $242.40 / $383.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $183.00 / $229.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.40 / $404.40 / $621.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.40 / $162.47 / $254.90
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.04 / $2,062.69 / $2,062.69
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.57 / $2,162.57 / $2,527.19