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South Carolina rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $588.84 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,023.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $478.63 / $524.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $602.56 / $1,202.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $588.84 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $588.84