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North Carolina rates for HCPCS L5987

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,498.73 / $6,498.73 / $13,189.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,906.04 / $6,498.73 / $6,498.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,000.46 / $8,400.56 / $15,950.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,078.83 / $6,548.58 / $7,203.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $6,042.00 / $10,068.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,498.65 / $6,498.73 / $9,832.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,910.00 / $4,910.00 / $6,126.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,171.40 / $10,171.40 / $15,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,346.74 / $4,374.50 / $6,316.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,589.81 / $40,507.83 / $40,507.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,722.41 / $43,722.41 / $63,571.35