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South Carolina rates for HCPCS L8400

Prosthetic Sheath Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $10.18 / $10.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.48 / $10.18 / $16.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $15.36 / $22.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $18.92 / $26.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.13 / $14.44 / $15.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $13.68 / $14.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.13 / $16.94 / $35.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $14.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.37 / $15.37 / $15.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $11.10 / $14.20