go back

South Carolina rates for HCPCS L5978

All Lower Extremi Prostheses, Foot, Multiaxial Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.69 / $156.69 / $156.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.43 / $156.69 / $260.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $258.45 / $371.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.00 / $243.19 / $268.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $210.64 / $243.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.87 / $251.00 / $550.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.00 / $197.00 / $212.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.68 / $236.68 / $236.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.82 / $174.74 / $263.27