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Orthotic and Prosthetic Supply, Accessory, or Service

North Carolina rates for HCPCS L9900

Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS L code

Rates data updated July 2026.

How much does Orthotic and Prosthetic Supply, Accessory, or Service cost?

$67.61

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $67.61 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$67.61 to $67.61
FacilityA hospital or hospital-owned outpatient department$67.61$67.61 to $89.13

How much rates vary

Facilitymedian $68 · 10th to 90th $68 to $100Professionalmedian $68 · 10th to 90th $68 to $89
$50$100facility $68professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$114.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina sits

The same service costs 1.6 times more in Mississippi than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 39th of 51

$67.61

MS $91.20KS $57.54

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.