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South Carolina rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.30 / $2,752.30 / $2,752.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,659.48 / $2,752.30 / $4,579.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,560.00 / $4,381.29 / $6,521.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.10 / $4,728.96 / $5,221.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,699.77 / $4,728.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,737.79 / $4,408.00 / $9,662.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,459.00 / $3,459.00 / $3,717.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.31 / $8,148.31 / $8,148.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,342.38 / $3,069.37 / $4,593.64