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South Carolina rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.19 / $294.19 / $294.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $294.19 / $489.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.00 / $485.38 / $697.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.89 / $410.92 / $453.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $395.47 / $410.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.64 / $472.00 / $929.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.00 / $370.00 / $397.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.37 / $444.37 / $444.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.37 / $328.08 / $494.31