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South Carolina rates for HCPCS L5988

Addition To Lower Limb Prosthesis Vertical Shock Reducing Pylon Feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.70 / $1,084.70 / $1,084.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.34 / $1,084.70 / $1,804.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.00 / $1,901.43 / $2,716.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.44 / $1,346.19 / $1,486.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $1,458.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.98 / $1,737.00 / $3,807.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.00 / $1,356.00 / $1,465.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.50 / $1,198.86 / $1,619.40