go back

South Carolina rates for HCPCS L5450

Immediate Post Surgical Or Early Fitting Application Of Non- Weight Bearing Rigid Dressing Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.81 / $219.81 / $219.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.81 / $219.81 / $365.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $359.31 / $520.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.84 / $305.54 / $337.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $295.48 / $305.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.65 / $352.00 / $691.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.00 / $276.00 / $297.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.02 / $332.02 / $332.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.07 / $243.95 / $367.56