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North Carolina rates for HCPCS L6250

Above elbow, molded double wall socket, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,553.48 / $2,553.48 / $5,182.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.77 / $2,553.48 / $2,553.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,125.41 / $5,089.06 / $6,267.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.54 / $2,573.08 / $2,573.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,122.21 / $2,561.34 / $2,561.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.78 / $2,561.34 / $4,503.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.06 / $2,553.48 / $3,965.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.00 / $1,929.00 / $2,407.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,076.00 / $4,076.00 / $6,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.01 / $1,711.57 / $2,545.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,735.79 / $20,412.75 / $20,412.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,805.07 / $21,805.07 / $25,474.80