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North Carolina rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,981.07 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $4,677.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,949.84 / $2,691.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,235.94 / $5,754.40
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
$954.99 / $2,398.83 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $2,818.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $19,952.62
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $33,113.11