go back

South Carolina rates for HCPCS L5670

Addition To Lower Extremity Below Knee Molded Supracondylar Suspension (Pts Or Similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.69 / $145.69 / $145.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.69 / $145.69 / $242.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $239.54 / $345.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.05 / $203.51 / $224.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $195.85 / $203.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.93 / $234.00 / $511.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $183.00 / $197.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.07 / $220.07 / $220.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.00 / $162.47 / $244.81