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North Carolina rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $6,457 · 10th–90th $3,715$15,1360%20%10th90th$6,457Professionalmedian $5,888 · 10th–90th $3,715$6,6070%20%40%10th90th$5,888$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
$6,456.54 / $6,456.54 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,370.32 / $6,456.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,943.28 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $7,079.46
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,365.16 / $5,623.41
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $7,079.46 / $12,302.69
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
$3,235.94 / $5,888.44 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,365.16 / $6,165.95
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $41,686.94 / $41,686.94
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44,668.36 / $44,668.36 / $63,095.73