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South Carolina rates for HCPCS L5976

All Lower Extremity Prostheses Energy Storing Foot (Seattle Carbon Copy Ii Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.70 / $300.70 / $300.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.70 / $300.70 / $500.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $491.69 / $712.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.37 / $420.01 / $463.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $404.21 / $420.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.11 / $482.00 / $1,055.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $406.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.20 / $454.20 / $454.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.57 / $335.33 / $505.25