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North Carolina rates for HCPCS L5676

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.72 / $323.72 / $656.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $323.72 / $323.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.24 / $645.16 / $794.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $326.20 / $326.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.04 / $271.77 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $504.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.08 / $323.72 / $511.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.00 / $245.00 / $306.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.90 / $521.90 / $802.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.82 / $216.98 / $340.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.60 / $2,754.57 / $2,754.57
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,803.83 / $2,803.83 / $3,262.05