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South Carolina rates for HCPCS L5848

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $724.44 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $851.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $954.99 / $2,041.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $870.96 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $891.25