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South Carolina rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.11 / $160.11 / $160.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $160.11 / $266.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $264.75 / $379.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.40 / $297.81 / $328.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $297.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.26 / $257.00 / $562.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.00 / $201.00 / $216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.80 / $178.55 / $269.02