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North Carolina rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.91 / $574.91 / $1,166.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.88 / $574.91 / $574.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.29 / $743.16 / $1,411.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.30 / $579.34 / $579.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $477.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.66 / $723.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.84 / $574.91 / $869.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.00 / $434.00 / $542.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.30 / $748.30 / $1,150.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.08 / $385.37 / $544.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.19 / $3,225.13 / $3,225.13
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,687.45 / $3,687.45 / $4,676.93