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South Carolina rates for HCPCS L5585

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,558.75 / $1,558.75 / $1,558.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.50 / $1,558.75 / $2,593.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.00 / $2,486.01 / $3,693.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.80 / $2,571.77 / $2,839.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $2,095.36 / $2,571.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.54 / $2,496.00 / $5,472.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.00 / $1,959.00 / $2,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.47 / $1,722.82 / $2,308.31