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South Carolina rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $14,454.40 / $21,877.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,498.45 / $22,387.21 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $29,512.09 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $45,708.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $33,884.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $19,054.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $21,379.62 / $46,773.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,511.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $19,498.45 / $35,481.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $14,454.40 / $19,952.62