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South Carolina rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.59 / $689.59 / $689.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.83 / $689.59 / $1,147.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.00 / $1,128.35 / $1,633.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.55 / $963.22 / $1,063.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $926.99 / $963.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.96 / $1,105.00 / $2,420.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.00 / $867.00 / $931.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.82 / $769.04 / $1,158.71