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South Carolina rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.75 / $308.75 / $308.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.51 / $308.75 / $513.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.46 / $483.13 / $690.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.35 / $562.42 / $803.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.56 / $380.63 / $420.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $415.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.12 / $495.00 / $1,083.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.00 / $386.00 / $386.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.36 / $466.36 / $466.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.21 / $336.68 / $448.76