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South Carolina rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.69 / $68.69 / $68.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.69 / $68.69 / $114.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $74.84 / $74.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $113.47 / $162.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.39 / $99.32 / $109.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $92.33 / $99.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.33 / $110.00 / $241.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $86.00 / $93.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.75 / $103.75 / $103.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.98 / $76.59 / $115.42