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South Carolina rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,995.26 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,073.80 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,290.87 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $4,677.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $2,630.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,019.95 / $6,456.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,041.74 / $2,818.38