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South Carolina rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.32 / $21.32 / $21.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $21.32 / $35.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $37.82 / $52.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $29.78 / $32.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $28.66 / $29.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.21 / $35.00 / $74.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $29.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.20 / $32.20 / $32.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $23.77 / $35.82