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North Carolina rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,522.69 / $2,522.69 / $5,119.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.87 / $2,522.69 / $2,522.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.06 / $2,542.06 / $2,542.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.45 / $3,260.94 / $6,191.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.96 / $2,542.06 / $2,542.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,096.61 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,677.29 / $4,123.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.64 / $2,522.69 / $3,816.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.00 / $1,906.00 / $2,378.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,970.10 / $4,970.10 / $7,641.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.15 / $1,690.94 / $2,652.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,778.82 / $20,855.07 / $20,855.07
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,074.59 / $21,074.59 / $31,063.35