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South Carolina rates for HCPCS L5728

Addition Exoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.63 / $1,277.63 / $1,277.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.63 / $1,277.63 / $2,125.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.00 / $2,086.52 / $3,027.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.90 / $2,050.41 / $2,263.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,841.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.89 / $2,046.00 / $4,485.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.00 / $1,606.00 / $1,726.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.33 / $1,424.81 / $2,146.75