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North Carolina rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.36 / $2,038.36 / $4,136.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.16 / $2,038.36 / $2,038.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,195.73 / $2,634.87 / $5,002.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.04 / $2,054.00 / $2,054.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.07 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $3,489.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.05 / $2,038.36 / $3,084.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.00 / $1,540.00 / $1,922.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,282.10 / $3,282.10 / $5,053.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.58 / $1,372.08 / $2,143.46
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,282.03 / $17,184.68 / $17,184.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,908.25 / $17,908.25 / $20,539.95