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South Carolina rates for HCPCS L5200

Above Knee Molded Socket Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.99 / $1,963.99 / $1,963.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.86 / $1,963.99 / $3,267.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.00 / $3,125.98 / $4,653.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.30 / $2,728.17 / $3,012.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $2,777.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.64 / $3,145.00 / $6,894.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.00 / $2,469.00 / $2,653.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.40 / $2,170.71 / $2,980.36