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South Carolina rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.46 / $13.46 / $13.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $13.46 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.66 / $21.05 / $30.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $22.69 / $31.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $16.29 / $17.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $18.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $22.00 / $47.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $18.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $20.32 / $20.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.12 / $31.12 / $31.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $14.87 / $17.95