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South Carolina rates for HCPCS L5940

Addition Endoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.33 / $269.33 / $269.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.32 / $269.33 / $448.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.50 / $421.44 / $602.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $441.26 / $638.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.13 / $382.03 / $421.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $362.04 / $382.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.91 / $432.00 / $945.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $339.00 / $364.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.82 / $406.82 / $406.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.24 / $300.36 / $452.54