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North Carolina rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.20 / $171.20 / $347.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.04 / $171.20 / $171.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.42 / $221.31 / $420.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.11 / $172.51 / $172.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.29 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $300.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $171.20 / $259.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $129.00 / $162.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.70 / $264.70 / $407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.17 / $115.25 / $166.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.50 / $1,083.05 / $1,083.05
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.72 / $1,269.72 / $1,654.35