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South Carolina rates for HCPCS L5700

Replacement Socket Below Knee Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.41 / $1,538.41 / $1,538.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.05 / $1,538.41 / $2,559.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.47 / $3,438.92 / $3,438.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.00 / $2,508.87 / $3,645.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,531.60 / $2,400.00 / $2,649.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,068.01 / $2,400.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.30 / $2,464.00 / $5,400.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.00 / $1,934.00 / $2,078.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.78 / $2,323.78 / $2,323.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.29 / $1,715.64 / $2,470.67