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North Carolina rates for HCPCS L8042

Orbital Prosthesis Provided By A Non-Physician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,957.24 / $2,957.24 / $6,001.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.33 / $2,957.24 / $2,957.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.57 / $3,822.68 / $7,258.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.75 / $2,979.93 / $2,979.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $3,214.74 / $4,698.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.07 / $2,957.24 / $4,474.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.00 / $2,223.00 / $2,788.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,322.80 / $5,322.80 / $8,184.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.93 / $1,982.21 / $2,874.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,808.82 / $19,856.05 / $19,856.05
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,291.26 / $21,291.26 / $33,267.60