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South Carolina rates for HCPCS L5680

Addition To Lower Extremity Below Knee Thigh Lacer Nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.97 / $177.97 / $177.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.35 / $177.97 / $296.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $289.97 / $421.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.17 / $228.28 / $252.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $239.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.03 / $285.00 / $624.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.00 / $224.00 / $240.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.82 / $268.82 / $268.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.88 / $196.70 / $274.61