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North Carolina rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.41 / $87.41 / $177.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $87.41 / $87.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.98 / $174.22 / $214.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $88.09 / $88.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.65 / $97.44 / $97.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $174.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $87.41 / $132.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $83.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.10 / $149.10 / $229.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.83 / $58.84 / $90.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.08 / $743.85 / $743.85
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.68 / $751.68 / $932.03