go back

South Carolina rates for HCPCS L5100

Below Knee, Molded Socket, Shin, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.08 / $1,292.08 / $1,292.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.08 / $1,292.08 / $2,149.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.00 / $2,111.73 / $3,061.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.30 / $1,743.07 / $1,924.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $2,084.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.28 / $2,069.00 / $4,536.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.00 / $1,624.00 / $1,745.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.72 / $1,951.72 / $1,951.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.23 / $1,428.09 / $2,096.83