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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
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $457.09 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $812.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $478.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $537.03 / $1,122.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $537.03 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $537.03