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South Carolina rates for HCPCS L5718

Addition Exoskeletal Knee-Shin System Polycentric Friction Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.13 / $489.13 / $489.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.82 / $489.13 / $813.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.00 / $800.56 / $1,158.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.97 / $719.79 / $794.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $657.51 / $719.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.55 / $784.00 / $1,717.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.00 / $615.00 / $661.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.83 / $738.83 / $738.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.29 / $545.48 / $821.87