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North Carolina rates for HCPCS L7191

Electronic elbow, child, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $7,079.46 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $10,964.78 / $21,877.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,511.38 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $8,709.64 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $8,912.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $7,244.36 / $7,943.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $9,332.54 / $16,218.10
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
$4,466.84 / $8,317.64 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,495.41 / $8,511.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,884.37 / $58,884.37 / $58,884.37
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72,443.60 / $72,443.60 / $102,329.30