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North Carolina rates for HCPCS L5724

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,202.26 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,691.53 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,380.38 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,445.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,202.26 / $1,202.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,513.56 / $2,630.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $1,380.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $16,982.44