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South Carolina rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.13 / $317.13 / $317.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.51 / $317.13 / $527.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.00 / $516.90 / $751.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.74 / $458.59 / $506.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $426.31 / $458.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.45 / $508.00 / $1,113.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $399.00 / $428.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.03 / $479.03 / $479.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.92 / $353.67 / $532.87