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North Carolina rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $11,748.98 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $20,892.96 / $41,686.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $15,848.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $24,547.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $15,488.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $15,848.93 / $28,840.32
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
$7,762.47 / $14,125.38 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $10,471.29 / $15,135.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $97,723.72 / $97,723.72
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107,151.93 / $154,881.66 / $154,881.66