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South Carolina rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,885.54 / $1,885.54 / $1,885.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.54 / $1,885.54 / $3,137.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,440.00 / $3,002.91 / $4,467.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.20 / $3,249.00 / $3,587.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $2,534.63 / $3,249.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.60 / $3,020.00 / $6,619.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.00 / $2,370.00 / $2,547.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,848.13 / $2,848.13 / $2,848.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.71 / $2,102.75 / $3,168.20