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South Carolina rates for HCPCS L5050

Ankle, Symes, Molded Socket, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.24 / $1,289.24 / $1,289.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.72 / $1,289.24 / $2,144.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,881.93 / $2,881.93 / $2,881.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.00 / $2,105.42 / $3,054.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.50 / $2,084.13 / $2,301.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $1,733.09 / $2,084.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.45 / $2,065.00 / $4,526.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,741.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.41 / $1,947.41 / $1,947.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.61 / $2,070.48 / $2,117.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.22 / $1,424.94 / $2,070.48