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South Carolina rates for HCPCS L5684

Addition To Lower Extremity Below Knee Fork Strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.85 / $25.85 / $25.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $25.85 / $43.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $43.07 / $61.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $37.36 / $41.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $34.74 / $37.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $42.00 / $90.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $32.00 / $35.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.03 / $39.03 / $39.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $28.82 / $43.42