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South Carolina rates for HCPCS L5970

All Lower Extremity Prostheses Foot External Keel Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.04 / $109.04 / $109.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.08 / $109.04 / $181.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $182.81 / $258.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.56 / $184.91 / $204.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $146.59 / $184.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.47 / $175.00 / $382.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $137.00 / $147.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.71 / $164.71 / $164.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.80 / $121.61 / $183.23