go back

North Carolina rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.08 / $296.08 / $600.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.81 / $296.08 / $296.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.94 / $382.73 / $726.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.75 / $298.36 / $298.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $246.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $423.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.66 / $296.08 / $447.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.00 / $224.00 / $280.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.40 / $561.40 / $863.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.47 / $198.47 / $311.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.75 / $1,903.31 / $1,903.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.58 / $2,245.58 / $3,508.73