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North Carolina rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,888.84 / $3,888.84 / $7,892.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,414.42 / $3,888.84 / $3,888.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,189.07 / $5,026.89 / $9,544.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,978.19 / $3,918.68 / $3,918.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,232.03 / $3,745.37 / $3,745.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,585.62 / $2,734.12 / $6,712.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.50 / $3,888.84 / $5,883.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,938.00 / $2,938.00 / $3,666.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,282.10 / $6,282.10 / $9,659.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,002.70 / $2,606.65 / $4,008.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,177.57 / $33,025.99 / $33,025.99
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35,230.05 / $35,230.05 / $39,263.18