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North Carolina rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.22 / $400.22 / $812.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.96 / $400.22 / $400.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.29 / $403.29 / $403.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.86 / $797.64 / $982.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.50 / $403.29 / $403.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $332.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $467.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.88 / $400.22 / $605.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $378.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.30 / $480.30 / $744.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.20 / $268.26 / $378.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.68 / $2,486.48 / $2,486.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.85 / $2,677.85 / $3,024.68