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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
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $602.56 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $501.19 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $831.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $389.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $446.68 / $954.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $436.52 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $436.52