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South Carolina rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,380.38 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,047.13 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,862.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $851.14 / $954.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,071.52 / $2,454.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,023.29