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South Carolina rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.09 / $234.09 / $234.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.72 / $234.09 / $389.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.00 / $384.53 / $554.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.06 / $338.50 / $373.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $314.68 / $338.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.86 / $375.00 / $727.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $294.00 / $316.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.60 / $353.60 / $353.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.78 / $261.06 / $393.34