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South Carolina rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.19 / $93.19 / $93.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.16 / $93.19 / $164.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $138.66 / $199.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.86 / $110.15 / $121.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $110.14 / $113.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.79 / $135.00 / $295.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $106.00 / $114.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.23 / $127.23 / $127.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $89.75 / $118.10