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South Carolina rates for HCPCS L8410

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.58 / $11.58 / $11.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $11.58 / $19.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $18.92 / $27.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $16.62 / $18.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $15.56 / $16.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.52 / $19.00 / $40.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $16.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.49 / $17.49 / $17.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $12.80 / $18.69