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South Carolina rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.15 / $1,225.15 / $1,225.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.81 / $1,225.15 / $2,038.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.00 / $1,998.27 / $2,902.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.70 / $1,711.28 / $1,889.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,646.91 / $1,711.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.69 / $1,962.00 / $4,301.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.00 / $1,540.00 / $1,655.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.60 / $1,850.60 / $1,850.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.68 / $1,366.29 / $2,058.57