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South Carolina rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $39.81 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $74.13 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $45.71 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $85.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $45.71 / $48.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $56.23 / $117.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $54.95 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $54.95