go back

South Carolina rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.63 / $60.63 / $60.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $60.63 / $100.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.86 / $94.86 / $135.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $98.46 / $143.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.35 / $89.19 / $98.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $81.50 / $89.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.30 / $98.00 / $212.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $82.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.56 / $91.56 / $91.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.52 / $67.00 / $91.11