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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
$459.39 / $459.39 / $459.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.21 / $459.39 / $764.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.00 / $750.14 / $1,088.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.34 / $660.31 / $729.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $617.52 / $660.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.96 / $736.00 / $1,612.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.00 / $577.00 / $620.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.90 / $693.90 / $693.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.97 / $509.24 / $767.27