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North Carolina rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Facilitymedian $513 · 10th–90th $309–$1,4450%20%10th90th$513Professionalmedian $501 · 10th–90th $302–$5500%20%40%10th90th$501$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $478.63 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $512.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $363.08 / $446.68
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $562.34 / $977.24
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $512.86
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $6,309.57