go back

South Carolina rates for HCPCS L5634

Addition To Lower Extremity Symes Type Posterior Opening (Canadian) Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.33 / $163.33 / $163.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.33 / $163.33 / $271.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.00 / $271.06 / $387.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.60 / $274.64 / $303.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $219.55 / $274.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.46 / $262.00 / $573.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $205.00 / $221.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $246.70 / $246.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $182.14 / $274.44