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North Carolina rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $45.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $22.39 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.06 / $27.06 / $27.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $44.63 / $54.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $22.55 / $22.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $18.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $14.88 / $29.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $22.39 / $33.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $22.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.50 / $32.50 / $49.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.01 / $21.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $147.82 / $147.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.38 / $149.38 / $202.95