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South Carolina rates for HCPCS L5530

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.41 / $927.41 / $927.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.17 / $927.41 / $1,542.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,476.84 / $2,197.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.31 / $1,295.39 / $1,430.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $1,246.67 / $1,295.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.52 / $1,485.00 / $3,255.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.00 / $1,166.00 / $1,253.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.86 / $1,400.86 / $1,400.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.28 / $1,034.25 / $1,558.29