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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
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $660.69 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $407.38 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $436.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $501.19 / $1,023.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $489.78 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $489.78