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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
$240.97 / $240.97 / $240.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.80 / $240.97 / $400.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $397.14 / $570.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.90 / $393.88 / $434.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $419.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.70 / $386.00 / $845.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.00 / $303.00 / $325.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.98 / $363.98 / $363.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.42 / $268.73 / $404.90