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North Carolina rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,107.52 / $13,107.52 / $13,107.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,878.23 / $13,107.52 / $13,107.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,374.75 / $17,249.70 / $32,171.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,260.62 / $13,208.08 / $13,783.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $9,812.54 / $20,306.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,501.68 / $13,107.52 / $17,610.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,646.99 / $13,646.99 / $13,646.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,515.20 / $20,515.20 / $20,515.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,505.84 / $8,785.82 / $12,739.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,426.58 / $81,836.25 / $81,836.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89,678.01 / $128,219.85 / $128,219.85