go back

South Carolina rates for HCPCS L5950

Addition Endoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.12 / $421.12 / $421.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.21 / $421.12 / $700.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.91 / $458.91 / $458.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.00 / $687.10 / $997.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.26 / $583.49 / $644.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $566.09 / $583.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.89 / $675.00 / $1,478.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.00 / $529.00 / $569.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.09 / $636.09 / $636.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.76 / $465.86 / $701.92