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North Carolina rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.85 / $401.85 / $815.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.53 / $401.85 / $401.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.87 / $800.89 / $986.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.75 / $404.93 / $404.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.00 / $340.42 / $340.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $340.42 / $610.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $401.85 / $608.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $304.00 / $379.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.90 / $624.90 / $960.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.71 / $269.36 / $422.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.07 / $2,846.68 / $2,846.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,033.72 / $3,033.72 / $3,905.78