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South Carolina rates for HCPCS L5811

Addition Endoskeletal Knee-Shin System Single Axis Manual Lock Ultra-Light Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.59 / $391.59 / $391.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.94 / $391.59 / $651.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.00 / $642.97 / $927.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.86 / $612.94 / $676.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $526.40 / $612.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.53 / $628.00 / $1,374.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $492.00 / $529.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.50 / $591.50 / $591.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $657.98 / $691.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.27 / $436.70 / $657.98