go back

South Carolina rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.80 / $303.80 / $303.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.66 / $303.80 / $505.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.00 / $523.04 / $747.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.19 / $436.96 / $482.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $408.38 / $436.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.19 / $487.00 / $1,066.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.00 / $382.00 / $410.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.47 / $335.77 / $456.47