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South Carolina rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,773.54 / $2,773.54 / $2,773.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,686.34 / $2,773.54 / $4,614.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,590.00 / $4,526.05 / $6,571.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,761.20 / $4,865.01 / $5,371.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $3,728.33 / $4,865.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.92 / $4,442.00 / $9,736.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,486.00 / $3,486.00 / $3,746.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,360.46 / $3,079.62 / $4,640.05