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North Carolina rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.10 / $448.10 / $909.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.33 / $448.10 / $448.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.85 / $541.85 / $541.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.46 / $893.06 / $1,099.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.17 / $451.54 / $451.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.41 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $697.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.91 / $448.10 / $713.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $339.00 / $423.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.80 / $784.80 / $1,206.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.18 / $301.63 / $471.21
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.89 / $3,210.96 / $3,210.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,997.65 / $3,997.65 / $4,905.30