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South Carolina rates for HCPCS L5230

Above Knee For Proximal Femoral Focal Deficiency Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.58 / $2,042.58 / $2,042.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.00 / $2,042.58 / $3,398.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.00 / $3,334.66 / $4,839.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,033.50 / $2,853.06 / $3,150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,745.75 / $2,853.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.81 / $3,271.00 / $7,170.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,567.00 / $2,567.00 / $2,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.37 / $2,277.89 / $3,432.08