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North Carolina rates for HCPCS L5782

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System Heavy Duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,810.62 / $3,810.62 / $7,733.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.36 / $3,810.62 / $3,810.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,664.12 / $7,594.48 / $9,352.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,918.29 / $3,839.86 / $3,839.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $3,294.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $3,294.10 / $5,903.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.11 / $3,810.62 / $5,771.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,079.00 / $3,079.00 / $3,591.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,964.10 / $5,964.10 / $9,170.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,962.41 / $2,554.21 / $3,703.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,554.93 / $23,712.81 / $23,712.81
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,637.24 / $25,637.24 / $37,275.90