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South Carolina rates for HCPCS L5782

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System Heavy Duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.36 / $2,290.36 / $2,290.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.89 / $2,290.36 / $3,810.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,119.81 / $5,119.81 / $6,161.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.59 / $3,294.10 / $3,636.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $3,078.82 / $3,294.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.29 / $3,591.96 / $8,040.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,079.00 / $3,079.00 / $3,079.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,459.62 / $3,459.62 / $3,459.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.81 / $2,531.44 / $3,419.35