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South Carolina rates for HCPCS L5639

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.99 / $601.99 / $601.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.99 / $601.99 / $1,001.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.00 / $959.95 / $1,426.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.34 / $870.50 / $961.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $809.24 / $870.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.82 / $964.00 / $2,113.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.00 / $757.00 / $813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.34 / $671.35 / $1,011.52