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North Carolina rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.90 / $508.90 / $1,032.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.11 / $508.90 / $508.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.89 / $1,014.23 / $1,249.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.73 / $512.80 / $512.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.96 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $900.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $508.90 / $806.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $384.00 / $480.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.50 / $820.50 / $1,261.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.26 / $342.56 / $535.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.98 / $4,330.34 / $4,330.34
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,842.63 / $4,842.63 / $5,128.05