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South Carolina rates for HCPCS L5716

Addition Exoskeletal Knee-Shin System Polycentric Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.34 / $391.34 / $391.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.69 / $391.34 / $651.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.00 / $642.97 / $927.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.60 / $673.11 / $743.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.37 / $526.05 / $673.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.27 / $627.00 / $1,373.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $492.00 / $529.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.11 / $591.11 / $591.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.85 / $436.42 / $657.55