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South Carolina rates for HCPCS L2390

Addition To Lower Extremity Offset Knee Joint Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.04 / $61.04 / $61.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.57 / $61.04 / $107.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $90.78 / $130.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.93 / $79.77 / $88.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $74.16 / $79.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.88 / $89.00 / $193.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $69.00 / $75.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.33 / $83.33 / $83.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $61.52 / $82.03