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South Carolina rates for HCPCS L5460

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.87 / $292.87 / $292.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.81 / $292.87 / $487.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $467.67 / $693.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.56 / $484.42 / $534.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.63 / $393.66 / $484.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.32 / $469.00 / $910.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.00 / $368.00 / $396.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.37 / $442.37 / $442.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.25 / $326.51 / $491.95