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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
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $870.96 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $616.60 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,096.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $524.81 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $660.69 / $1,445.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $660.69 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $660.69