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North Carolina rates for HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.16 / $2,125.16 / $4,313.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.32 / $2,125.16 / $2,125.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,601.16 / $4,235.41 / $5,216.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.52 / $2,141.46 / $2,141.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.22 / $1,784.15 / $1,784.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.43 / $1,784.15 / $4,212.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.62 / $2,125.16 / $3,382.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.00 / $1,605.00 / $2,004.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,258.80 / $4,258.80 / $6,548.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.06 / $1,424.47 / $2,195.07
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,104.33 / $17,614.71 / $17,614.71
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,819.31 / $17,819.31 / $26,617.20