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North Carolina rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $47.86 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $72.44 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $58.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.71 / $48.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $61.66 / $107.15
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
$30.20 / $54.95 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $36.31 / $56.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $741.31