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South Carolina rates for HCPCS L5714

Addition Exoskeletal Knee-Shin System Single Axis Variable Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.53 / $241.53 / $241.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.63 / $241.53 / $401.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $397.14 / $572.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.48 / $340.42 / $375.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $324.70 / $340.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.26 / $387.00 / $847.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $304.00 / $326.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.84 / $364.84 / $364.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.10 / $266.95 / $377.36