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South Carolina rates for HCPCS L5665

Addition To Lower Extremity Socket Insert Multi-Durometer Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.92 / $274.92 / $274.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.44 / $274.92 / $457.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $443.05 / $651.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.70 / $452.18 / $499.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $369.57 / $452.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.47 / $441.00 / $965.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.00 / $346.00 / $371.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.27 / $415.27 / $415.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.40 / $819.40 / $819.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.98 / $306.58 / $461.94