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South Carolina rates for HCPCS L5580

Preparatory Above Knee - Knee Disarticulation Ischial Level 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
$1,266.59 / $1,266.59 / $1,266.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.59 / $1,266.59 / $2,107.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.00 / $2,018.35 / $3,001.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.90 / $1,769.18 / $1,953.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.50 / $1,702.62 / $1,769.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.92 / $2,029.00 / $4,446.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.00 / $1,592.00 / $1,711.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,913.21 / $1,913.21 / $1,913.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.96 / $1,412.51 / $2,128.23