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North Carolina rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,355.07 / $3,355.07 / $6,809.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.55 / $3,355.07 / $3,355.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,614.07 / $4,336.89 / $8,234.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,138.29 / $3,380.80 / $3,380.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,788.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $5,197.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.96 / $3,355.07 / $5,076.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,535.00 / $2,535.00 / $3,163.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,251.10 / $5,251.10 / $8,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.80 / $2,248.86 / $3,260.85
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,532.20 / $20,912.72 / $20,912.72
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,572.40 / $22,572.40 / $32,819.33