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South Carolina rates for HCPCS L5692

Addition To Lower Extremity Above Knee Pelvic Control Belt Light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $71.34 / $71.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.40 / $71.34 / $118.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $119.78 / $169.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.03 / $99.66 / $110.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $95.90 / $99.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.97 / $115.00 / $250.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $96.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.77 / $107.77 / $107.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.72 / $79.56 / $119.88