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South Carolina rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.20 / $270.20 / $270.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.20 / $270.20 / $449.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $441.26 / $640.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.01 / $503.81 / $556.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.22 / $367.78 / $492.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.77 / $433.00 / $948.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.00 / $340.00 / $365.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.96 / $298.64 / $439.06