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North Carolina rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $265.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.56 / $130.69 / $130.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.80 / $168.96 / $320.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $131.69 / $131.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.63 / $113.00 / $113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $271.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $130.69 / $206.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $99.00 / $124.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.40 / $252.40 / $388.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $87.98 / $137.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.34 / $998.26 / $998.26
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.59 / $1,095.59 / $1,577.40