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South Carolina rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.49 / $312.49 / $312.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.99 / $312.49 / $519.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $510.59 / $740.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.11 / $555.76 / $613.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $420.07 / $555.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.85 / $501.00 / $1,097.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.00 / $393.00 / $422.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.02 / $472.02 / $472.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.33 / $348.49 / $525.07