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South Carolina rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $870.96 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,584.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $758.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $870.96 / $1,862.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $354.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $812.83