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South Carolina rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.85 / $496.85 / $496.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.85 / $496.85 / $879.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.70 / $702.70 / $702.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.00 / $737.53 / $1,064.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.09 / $627.26 / $692.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $635.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.71 / $720.00 / $1,576.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.00 / $564.00 / $607.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.33 / $678.33 / $678.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.48 / $567.91 / $754.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.14 / $496.34 / $675.14