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South Carolina rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,839.76 / $2,839.76 / $2,839.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,659.57 / $2,839.76 / $4,724.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,049.35 / $5,219.39 / $7,456.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.20 / $3,790.37 / $4,184.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $3,817.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,824.79 / $4,548.00 / $9,969.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.00 / $3,551.00 / $3,551.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,289.49 / $4,289.49 / $4,289.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.38 / $3,138.65 / $4,559.63