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South Carolina rates for HCPCS L5636

Addition To Lower Extremity Symes Type Medial Opening Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.81 / $136.81 / $136.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.81 / $136.81 / $227.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $221.53 / $324.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $197.02 / $217.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $183.91 / $197.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.09 / $220.00 / $480.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $172.00 / $185.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.65 / $206.65 / $206.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.43 / $152.57 / $229.88