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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
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,884.03 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,089.30 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $3,801.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,737.80 / $1,819.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,137.96 / $4,570.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $2,089.30