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South Carolina rates for HCPCS L5210

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Foot Blocks No Ankle Joints Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.91 / $1,302.91 / $1,302.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.91 / $1,302.91 / $2,167.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.00 / $2,124.34 / $3,087.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.09 / $1,819.89 / $2,009.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,751.44 / $1,819.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.04 / $2,087.00 / $4,574.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.00 / $1,638.00 / $1,760.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.06 / $1,968.06 / $1,968.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.85 / $1,453.01 / $2,189.23