go back

South Carolina rates for HCPCS L5856

Addition To Lower Proximity Prosthesis Endoskeletal Knee-Shin System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,034.63 / $13,034.63 / $13,034.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,365.06 / $13,034.63 / $21,686.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,920.00 / $22,592.40 / $31,605.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $17,886.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $16,200.25 / $17,521.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,965.93 / $20,442.13 / $45,759.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,442.14 / $20,442.14 / $20,442.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,568.35 / $34,568.35 / $34,568.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,787.74 / $14,406.59 / $19,488.06