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North Carolina rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.61 / $855.61 / $1,736.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.24 / $855.61 / $855.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.21 / $1,705.21 / $2,100.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.25 / $862.17 / $862.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.07 / $895.43 / $895.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $895.43 / $1,604.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $855.61 / $1,294.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.00 / $646.00 / $807.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.90 / $1,501.90 / $2,309.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.53 / $573.50 / $863.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,325.48 / $5,814.95 / $5,814.95
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,228.99 / $6,228.99 / $9,386.78