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North Carolina rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.90 / $338.90 / $687.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.69 / $338.90 / $338.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.80 / $409.80 / $409.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.79 / $675.41 / $831.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.00 / $341.50 / $375.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.64 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $293.77 / $553.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $338.90 / $514.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $256.00 / $320.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.60 / $507.60 / $780.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.86 / $227.15 / $329.37
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.48 / $2,679.00 / $2,679.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,028.01 / $3,028.01 / $3,172.50