go back

South Carolina rates for HCPCS L5812

Addition Endoskeletal Knee-Shin System Single Axis Friction Swing And Stance Phase Control (Safety Knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.52 / $303.52 / $303.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.27 / $303.52 / $505.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.00 / $497.99 / $719.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.18 / $472.30 / $521.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $408.02 / $472.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.92 / $487.00 / $1,065.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.00 / $382.00 / $410.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.47 / $458.47 / $458.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.92 / $338.50 / $510.01