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South Carolina rates for HCPCS L5160

Knee Disarticulation (Or Through Knee) Molded Socket Bent Knee Configuration External Knee Joints Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.86 / $2,050.86 / $2,050.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.05 / $2,050.86 / $3,412.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.00 / $3,347.25 / $4,859.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.80 / $3,670.30 / $4,052.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,756.87 / $3,670.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,040.05 / $3,284.00 / $7,199.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.00 / $2,578.00 / $2,770.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,097.85 / $3,097.85 / $3,097.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.80 / $2,287.12 / $3,445.99