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North Carolina rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $630.96 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $691.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $537.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $676.08 / $1,202.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $602.56 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $616.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $8,128.31