go back

North Carolina rates for HCPCS L5950

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $645.65 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $707.95 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $933.25 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $724.44 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $758.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $630.96 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $794.33 / $1,380.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $707.95 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $724.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $7,943.28