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North Carolina rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,040.70 / $3,040.70 / $6,171.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,827.60 / $3,040.70 / $3,040.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,721.73 / $6,060.05 / $7,463.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,328.66 / $3,064.02 / $3,064.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $5,888.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.59 / $3,040.70 / $4,600.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.00 / $2,297.00 / $2,867.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,854.70 / $4,854.70 / $7,464.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.91 / $2,038.15 / $2,955.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,826.50 / $19,065.24 / $19,065.24
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,393.65 / $20,393.65 / $30,341.85