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South Carolina rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $537.03 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $398.11 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $741.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $323.59 / $363.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $416.87 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $407.38 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $407.38