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South Carolina rates for HCPCS L5826

Addition Endoskeletal Knee-Shin System Single Axis Hydraulic Swing Phase Control With Miniature High Activity Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.65 / $1,695.65 / $1,695.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.54 / $1,695.65 / $2,821.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.00 / $2,666.46 / $4,017.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.45 / $2,677.88 / $2,956.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $2,279.39 / $2,677.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.72 / $2,716.00 / $5,952.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,131.00 / $2,131.00 / $2,290.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,561.31 / $2,561.31 / $2,561.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.94 / $1,874.13 / $2,547.41