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North Carolina rates for HCPCS L6400

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,072.88 / $2,072.88 / $4,206.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.34 / $2,072.88 / $2,072.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.90 / $2,679.48 / $5,087.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.47 / $2,088.78 / $2,088.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.77 / $2,125.02 / $2,125.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $2,125.02 / $3,808.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.99 / $2,072.88 / $3,136.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.00 / $1,566.00 / $1,954.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,889.80 / $3,889.80 / $5,980.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.85 / $1,389.43 / $2,179.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,518.75 / $17,638.56 / $17,638.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,492.63 / $18,492.63 / $24,311.25