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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
$2,344.23 / $2,344.23 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $5,248.07 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,715.35 / $9,332.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $6,760.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,235.94 / $3,630.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,073.80 / $8,511.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,890.45 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,630.27 / $3,890.45