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South Carolina rates for HCPCS L5520

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.13 / $772.13 / $772.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.13 / $772.13 / $1,284.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,230.70 / $1,829.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.72 / $1,232.72 / $1,361.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,037.94 / $1,232.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.07 / $1,237.00 / $2,710.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.00 / $971.00 / $1,043.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.32 / $1,166.32 / $1,166.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.14 / $861.09 / $1,297.40