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South Carolina rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,630.27 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $3,548.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,445.44 / $1,584.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $4,168.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,778.28 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,819.70