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South Carolina rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $10,471.29 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,379.62 / $22,387.21 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $33,884.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $24,547.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $15,488.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $15,488.17 / $33,113.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,309.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $14,125.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $10,471.29 / $14,454.40