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South Carolina rates for HCPCS L8430

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.80 / $14.80 / $14.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $14.80 / $24.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $16.13 / $16.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $24.61 / $35.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $18.44 / $20.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.46 / $18.44 / $19.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.01 / $24.00 / $51.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $20.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $22.34 / $22.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $16.35 / $19.97