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North Carolina rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.49 / $309.49 / $628.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.09 / $309.49 / $309.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.40 / $400.08 / $759.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.02 / $311.87 / $311.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.24 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $492.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $309.49 / $468.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $292.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.79 / $530.79 / $816.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.43 / $208.34 / $325.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.62 / $2,618.87 / $2,618.87
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.43 / $2,646.43 / $3,317.78