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North Carolina rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Facilitymedian $10 · 10th–90th $6–$280%20%10th90th$10Professionalmedian $9 · 10th–90th $5–$110%20%10th90th$9$1.0$5.0$20.0$100.0$500.0

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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.76 / $9.33
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $11.22 / $19.50
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
$6.46 / $10.00 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.61 / $10.23
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $100.00