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South Carolina rates for HCPCS L5676

Additions To Lower Extremity Below Knee Knee Joints Single Axis Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.57 / $194.57 / $194.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.27 / $194.57 / $323.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $321.48 / $461.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.71 / $271.77 / $300.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $261.55 / $271.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.54 / $312.00 / $683.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.00 / $245.00 / $263.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.89 / $293.89 / $293.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.59 / $216.98 / $326.92