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South Carolina rates for HCPCS L5790

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.07 / $386.07 / $386.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.56 / $386.07 / $642.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $615.35 / $914.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.36 / $582.20 / $642.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $518.97 / $582.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.03 / $619.00 / $1,355.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.00 / $485.00 / $521.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.15 / $583.15 / $583.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $430.54 / $648.70