go back

South Carolina rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.91 / $730.91 / $730.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.40 / $730.91 / $1,216.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.00 / $1,197.70 / $1,731.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.67 / $1,018.60 / $1,124.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $1,122.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.05 / $1,171.00 / $2,565.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.00 / $919.00 / $987.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.03 / $1,104.03 / $1,104.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.04 / $813.25 / $1,225.32