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South Carolina rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.03 / $934.03 / $934.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.61 / $934.03 / $1,554.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.00 / $1,525.49 / $2,213.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.91 / $1,606.19 / $1,773.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,255.57 / $1,606.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.10 / $1,496.00 / $3,279.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.00 / $1,174.00 / $1,262.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.85 / $1,410.85 / $1,410.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.36 / $1,041.63 / $1,569.42