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South Carolina rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.87 / $2,140.87 / $2,140.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.57 / $2,140.87 / $3,561.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.98 / $2,332.98 / $2,332.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.00 / $3,372.47 / $5,072.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.47 / $2,481.10 / $2,739.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $2,877.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,080.52 / $3,429.00 / $7,515.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.00 / $2,677.00 / $2,677.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,233.81 / $3,233.81 / $3,233.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.02 / $2,965.23 / $3,032.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.67 / $2,334.59 / $2,965.23