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South Carolina rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,023.29 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $660.69 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,174.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $758.58 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $758.58