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South Carolina rates for HCPCS L5640

Addition To Lower Extremity Knee Disarticulation Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.33 / $343.33 / $343.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.33 / $343.33 / $571.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.00 / $561.03 / $813.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.81 / $572.20 / $631.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $461.53 / $572.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.52 / $550.00 / $1,205.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $432.00 / $464.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.60 / $518.60 / $518.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.81 / $382.88 / $576.89