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North Carolina rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.70 / $1,105.70 / $2,244.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.42 / $1,105.70 / $1,105.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.35 / $2,203.63 / $2,713.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.77 / $1,114.18 / $1,114.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.96 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $1,232.20 / $2,103.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.20 / $1,105.70 / $1,672.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.00 / $835.00 / $1,043.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.10 / $1,968.10 / $3,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.28 / $741.14 / $1,162.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,047.40 / $8,041.61 / $8,041.61
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,380.20 / $8,380.20 / $12,300.60