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North Carolina rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Facilitymedian $331 · 10th–90th $195–$9120%20%10th90th$331Professionalmedian $324 · 10th–90th $191–$3390%20%40%10th90th$324$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $331.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $281.84 / $288.40
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $363.08 / $630.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $323.59 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $218.78 / $331.13
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $3,235.94