go back

North Carolina rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,106.58 / $4,106.58 / $4,106.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.25 / $4,106.58 / $4,106.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,026.33 / $8,184.33 / $10,079.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,841.25 / $4,138.09 / $4,142.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $6,680.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,762.02 / $4,106.58 / $5,777.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,275.58 / $4,275.58 / $4,275.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,234.80 / $6,234.80 / $9,586.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.23 / $2,752.59 / $4,296.37
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,680.76 / $29,247.41 / $29,247.41
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30,647.77 / $38,967.68 / $38,967.68