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North Carolina rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.99 / $473.99 / $961.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.89 / $473.99 / $473.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.63 / $477.63 / $477.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.16 / $944.66 / $1,163.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.00 / $477.63 / $477.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.93 / $397.94 / $397.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $738.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.11 / $473.99 / $754.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.00 / $358.00 / $447.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.20 / $764.20 / $1,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.10 / $317.70 / $498.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.68 / $3,385.23 / $3,385.23
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,203.14 / $4,203.14 / $4,776.30