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South Carolina rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.94 / $1,280.94 / $1,280.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.81 / $1,280.94 / $2,131.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.90 / $1,395.90 / $1,395.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.00 / $2,042.96 / $3,035.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.20 / $1,800.00 / $1,987.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,721.90 / $1,800.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.22 / $2,052.00 / $4,066.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.00 / $1,610.00 / $1,730.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.88 / $1,934.88 / $1,934.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.05 / $1,405.43 / $1,721.90