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South Carolina rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.07 / $985.07 / $985.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.26 / $985.07 / $1,638.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.00 / $1,297.30 / $2,312.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.82 / $1,222.54 / $1,349.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,386.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.88 / $1,578.00 / $3,458.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.00 / $1,232.00 / $1,232.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.67 / $2,608.67 / $2,608.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.70 / $1,088.76 / $1,470.66