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North Carolina rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.00 / $43.00 / $87.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.85 / $43.00 / $43.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $55.58 / $105.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.93 / $43.33 / $43.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.72 / $37.36 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $37.36 / $67.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $43.00 / $65.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $32.00 / $41.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $71.20 / $109.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.02 / $28.82 / $45.21
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.80 / $365.89 / $365.89
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.84 / $578.84 / $578.84