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North Carolina rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.93 / $1,638.93 / $3,326.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.07 / $1,638.93 / $1,638.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.47 / $2,118.57 / $4,022.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.14 / $1,651.50 / $1,651.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $3,173.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.14 / $1,638.93 / $2,479.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.00 / $1,232.00 / $1,545.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,565.19 / $2,565.19 / $3,944.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.02 / $1,098.56 / $1,592.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,679.32 / $10,198.75 / $10,198.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,026.37 / $11,026.37 / $16,032.45