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North Carolina rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.28 / $165.28 / $335.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.48 / $165.28 / $165.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.03 / $213.64 / $405.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.58 / $166.55 / $166.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.37 / $138.76 / $138.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $138.76 / $274.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $165.28 / $261.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $156.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.50 / $289.50 / $445.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $110.79 / $173.81
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.87 / $1,406.43 / $1,406.43
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.07 / $1,505.07 / $1,809.15