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North Carolina rates for HCPCS L8420

Prosthetic sock, multiple ply, below knee (BK), each

Facilitymedian $22 · 10th–90th $12–$510%10%20%10th90th$22Professionalmedian $17 · 10th–90th $12–$230%20%40%10th90th$17$0.0$0.2$2.0$20.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $22.91 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $16.22 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $18.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.59 / $16.60
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $22.39 / $40.74
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $17.38 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.14 / $21.38
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $204.17