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South Carolina rates for HCPCS L8417

Prosthetic Sheath/Sock Including A Gel Cushion Layer Below Knee Or Above Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.83 / $40.83 / $40.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $40.83 / $67.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $69.34 / $97.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.51 / $50.66 / $55.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $54.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.61 / $66.00 / $143.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.66 / $45.13 / $60.93