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South Carolina rates for HCPCS L8485

Prosthetic Sock Single Ply Fitting Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $5.97 / $5.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $5.97 / $9.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $10.49 / $14.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $9.63 / $10.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $8.02 / $9.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $10.00 / $20.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $6.66 / $10.02