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North Carolina rates for HCPCS L5830

Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.12 / $1,695.12 / $3,440.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.33 / $1,695.12 / $1,695.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.99 / $2,191.19 / $4,160.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.60 / $1,708.12 / $1,708.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.81 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $2,780.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.52 / $1,695.12 / $2,564.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.00 / $1,281.00 / $1,598.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,932.90 / $2,932.90 / $4,509.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.85 / $1,141.04 / $1,782.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,359.97 / $14,424.18 / $14,424.18
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,351.09 / $17,351.09 / $18,330.68