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South Carolina rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $281.84 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $489.78 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $309.03 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $660.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $323.59 / $346.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $389.05 / $758.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $363.08 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $245.47 / $371.54