go back

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
$35.47 / $35.47 / $71.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $35.47 / $35.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.22 / $45.86 / $87.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $35.74 / $35.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.48 / $29.78 / $29.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $29.77 / $55.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $35.47 / $56.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $34.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $87.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $23.77 / $37.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.93 / $301.82 / $301.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.07 / $443.07 / $443.07