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North Carolina rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.09 / $255.09 / $517.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.32 / $255.09 / $255.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.80 / $329.76 / $626.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.36 / $257.05 / $257.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $395.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.71 / $255.09 / $382.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.00 / $193.00 / $241.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.30 / $407.30 / $626.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.37 / $171.71 / $247.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.73 / $1,599.48 / $1,599.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.73 / $1,710.73 / $2,545.35