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South Carolina rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $323.59 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $602.56 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $380.19 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $691.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $398.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $478.63 / $977.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $446.68 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $457.09