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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
$614.74 / $614.74 / $614.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.01 / $614.74 / $1,022.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $1,002.29 / $1,456.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.02 / $1,036.33 / $1,144.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $826.36 / $1,036.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.50 / $985.00 / $2,158.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.00 / $773.00 / $830.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.57 / $928.57 / $928.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.61 / $685.56 / $1,032.93