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South Carolina rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $758.58 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $489.78 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $501.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $575.44 / $1,288.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $562.34 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $562.34