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North Carolina rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.62 / $836.62 / $1,697.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.33 / $836.62 / $836.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.00 / $1,667.37 / $2,053.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.57 / $843.04 / $843.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.31 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $1,569.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $836.62 / $1,265.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.00 / $632.00 / $789.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.30 / $1,468.30 / $2,257.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.85 / $560.78 / $879.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,273.48 / $6,432.21 / $6,432.21
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,703.04 / $6,703.04 / $9,177.15