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South Carolina rates for HCPCS L5702

Replacement Socket Hip Disarticulation Including Hip Joint Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.38 / $2,337.38 / $2,337.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.19 / $2,337.38 / $3,888.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,025.00 / $3,813.73 / $5,538.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.00 / $3,745.37 / $4,135.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $3,664.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,325.06 / $3,743.00 / $8,205.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,938.00 / $2,938.00 / $3,157.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.76 / $2,601.52 / $3,919.69