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North Carolina rates for HCPCS L6500

Above Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.27 / $2,897.27 / $5,879.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.39 / $2,897.27 / $2,897.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.17 / $5,774.20 / $7,111.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.81 / $2,919.49 / $2,919.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,407.92 / $2,970.85 / $2,970.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,970.85 / $4,887.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.80 / $2,897.27 / $4,383.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,189.00 / $2,189.00 / $2,732.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,604.89 / $4,604.89 / $7,080.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.05 / $1,942.01 / $3,046.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,082.76 / $19,545.97 / $19,545.97
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,162.56 / $24,162.56 / $28,780.73