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South Carolina rates for HCPCS L5980

All Lower Extremity Prostheses Flex Foot System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,990.79 / $1,990.79 / $1,990.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.79 / $1,990.79 / $3,312.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.00 / $3,246.40 / $4,717.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.90 / $2,780.72 / $3,070.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,676.12 / $2,780.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.29 / $3,188.00 / $6,988.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.00 / $2,502.00 / $2,689.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,007.11 / $3,007.11 / $3,007.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.08 / $2,220.13 / $3,345.05