go back

South Carolina rates for HCPCS L5785

Addition Exoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.56 / $345.56 / $345.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.80 / $345.56 / $574.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $567.34 / $818.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.03 / $389.66 / $430.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.65 / $464.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.88 / $554.00 / $1,160.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.00 / $434.00 / $467.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.97 / $521.97 / $521.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.25 / $376.82 / $468.74