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South Carolina rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.85 / $1,883.85 / $1,883.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.45 / $1,883.85 / $3,134.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.00 / $2,118.03 / $4,379.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.30 / $3,364.97 / $3,715.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $2,532.37 / $3,364.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,873.92 / $3,017.00 / $6,613.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.00 / $2,368.00 / $2,544.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,845.58 / $2,845.58 / $2,845.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.10 / $2,082.14 / $3,057.88