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South Carolina rates for HCPCS L5848

Addition To Endoskeletal Knee-Shin System Fluid Stance Extension Dampening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.87 / $583.87 / $583.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.39 / $583.87 / $971.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.27 / $636.27 / $636.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $882.51 / $1,383.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.05 / $724.63 / $800.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $724.63 / $784.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.79 / $935.00 / $2,049.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.00 / $730.00 / $730.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.93 / $881.93 / $881.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.12 / $645.32 / $871.68