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South Carolina rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.15 / $2,114.15 / $2,114.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.68 / $2,114.15 / $3,517.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,151.85 / $5,013.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,313.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $3,001.57 / $3,001.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.15 / $3,517.44 / $7,646.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,662.21 / $3,662.21 / $3,662.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.52 / $2,336.67 / $3,043.56