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South Carolina rates for HCPCS L5981

All Lower Extremity Prostheses Flex-Walk System Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.29 / $1,608.29 / $1,608.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.28 / $1,608.29 / $2,675.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.62 / $1,752.62 / $3,595.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.00 / $2,559.86 / $3,810.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.10 / $2,160.07 / $2,384.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,160.07 / $2,161.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.81 / $2,576.00 / $5,646.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.00 / $2,021.00 / $2,172.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.34 / $2,429.34 / $2,429.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.76 / $1,777.57 / $2,598.46