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South Carolina rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.41 / $428.41 / $428.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.76 / $428.41 / $712.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.86 / $670.36 / $957.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $699.71 / $1,015.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.52 / $694.09 / $766.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $575.89 / $694.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.16 / $686.00 / $1,504.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.00 / $538.00 / $579.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.12 / $647.12 / $647.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $477.77 / $719.85