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North Carolina rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.93 / $67.93 / $137.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $67.93 / $67.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.14 / $135.38 / $166.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.02 / $68.45 / $68.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $105.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $67.93 / $102.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $65.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.20 / $106.20 / $163.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.97 / $45.53 / $66.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.54 / $423.35 / $423.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.96 / $456.96 / $663.60