go back

South Carolina rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.43 / $27.43 / $27.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.43 / $27.43 / $45.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $45.38 / $65.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $44.94 / $49.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $36.86 / $44.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.29 / $44.00 / $96.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $37.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.43 / $41.43 / $41.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $30.59 / $46.09