go back

South Carolina rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $457.09 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $812.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $371.54 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $467.74 / $1,071.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $457.09 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $309.03 / $457.09