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North Carolina rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.20 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $46.77 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $36.31 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $40.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $31.62 / $31.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $39.81 / $69.18
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
$19.95 / $35.48 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $36.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68