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North Carolina rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.70 / $260.70 / $529.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $260.70 / $260.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.83 / $337.00 / $639.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.65 / $262.70 / $262.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.67 / $243.19 / $243.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $243.19 / $435.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.81 / $260.70 / $408.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.00 / $197.00 / $246.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.30 / $420.30 / $646.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.26 / $174.74 / $274.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.27 / $2,218.35 / $2,218.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,690.96 / $2,690.96 / $2,690.96