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South Carolina rates for HCPCS L5690

Addition To Lower Extremity Below Knee Waist Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.54 / $52.54 / $52.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.54 / $52.54 / $87.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $88.25 / $124.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.31 / $97.44 / $107.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $71.13 / $97.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.26 / $85.00 / $184.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $71.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.35 / $79.35 / $79.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.60 / $156.60 / $156.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.72 / $58.60 / $88.28