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North Carolina rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.16 / $2,365.16 / $4,800.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.45 / $2,365.16 / $2,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,547.77 / $3,057.32 / $5,805.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.34 / $2,383.30 / $2,383.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.68 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $4,437.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.47 / $2,365.16 / $3,578.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.00 / $1,787.00 / $2,230.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,159.60 / $4,159.60 / $6,395.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.12 / $1,585.34 / $2,442.96
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,430.57 / $18,460.07 / $18,460.07
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,260.05 / $19,260.05 / $25,997.63