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South Carolina rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.82 / $971.82 / $971.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.38 / $971.82 / $1,616.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.00 / $1,550.68 / $2,302.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.53 / $1,599.98 / $1,766.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,306.38 / $1,599.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.70 / $1,557.00 / $3,411.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.00 / $1,222.00 / $1,313.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.95 / $1,467.95 / $1,467.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.08 / $1,083.78 / $1,632.93