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North Carolina rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,134.28 / $3,134.28 / $6,360.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.23 / $3,134.28 / $3,134.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,376.27 / $4,051.53 / $7,692.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,931.77 / $3,158.32 / $3,158.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.52 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.52 / $3,364.97 / $5,457.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $3,134.28 / $4,742.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.00 / $2,368.00 / $2,955.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.10 / $5,108.10 / $7,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.10 / $2,100.88 / $3,295.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,909.10 / $23,010.90 / $23,010.90
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,979.78 / $23,979.78 / $31,925.70