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South Carolina rates for HCPCS L5632

Addition To Lower Extremity Symes Type Ptb Brim Design Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.66 / $131.66 / $131.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.34 / $131.66 / $219.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.32 / $294.32 / $294.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $220.63 / $311.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.09 / $166.52 / $183.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $176.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.97 / $211.00 / $462.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $165.00 / $178.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.88 / $198.88 / $198.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.80 / $144.03 / $200.33