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South Carolina rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.30 / $686.30 / $686.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.30 / $686.30 / $1,141.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.00 / $1,122.06 / $1,626.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.26 / $913.06 / $1,008.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $913.06 / $922.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.68 / $1,099.00 / $2,409.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.00 / $863.00 / $927.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.66 / $1,036.66 / $1,036.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.09 / $758.54 / $1,098.35