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South Carolina rates for HCPCS L5999

Lower Extremi Prosthes, Not Otherwise Specified

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.00 / $2,559.00 / $2,559.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.25 / $12.25 / $13.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00