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North Carolina rates for HCPCS L8415

Prosthetic Sheath Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $19.14 / $38.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $19.14 / $19.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.64 / $24.77 / $47.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.67 / $19.30 / $19.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.92 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $30.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $19.14 / $28.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $19.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $34.60 / $53.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $12.89 / $20.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $136.52 / $136.52
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.27 / $161.27 / $216.38