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North Carolina rates for HCPCS L5722

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.74 / $859.74 / $1,744.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.75 / $859.74 / $859.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.30 / $1,713.45 / $2,110.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.42 / $866.34 / $866.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.52 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $1,568.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $859.74 / $1,300.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $650.00 / $811.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,999.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.53 / $578.73 / $904.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,273.19 / $6,185.97 / $6,185.97
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,301.80 / $6,301.80 / $8,127.53