go back

South Carolina rates for HCPCS L5105

Below Knee, Plastic Socket, Joints And Thigh Lacer, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.27 / $1,865.27 / $1,865.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.27 / $1,865.27 / $3,103.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,415.00 / $3,044.69 / $4,419.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.00 / $3,006.81 / $3,319.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $2,507.40 / $3,006.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.45 / $2,987.00 / $6,548.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,345.00 / $2,345.00 / $2,519.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.47 / $2,080.16 / $3,134.16