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North Carolina rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $21,877.62 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $16,595.87 / $21,877.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,877.62 / $21,877.62 / $21,877.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $28,840.32 / $57,543.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,877.62 / $22,387.21 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $33,884.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,489.63 / $14,454.40 / $19,054.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $23,442.29 / $40,738.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $19,498.45 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $14,454.40 / $20,417.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134,896.29 / $134,896.29 / $134,896.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144,543.98 / $144,543.98 / $213,796.21