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South Carolina rates for HCPCS L5707

Custom Shaped Protective Cover Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.58 / $664.58 / $664.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.58 / $664.58 / $1,105.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.00 / $1,058.40 / $1,574.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.65 / $1,232.20 / $1,360.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $899.51 / $1,232.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.07 / $1,065.00 / $2,333.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.00 / $835.00 / $898.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.85 / $1,003.85 / $1,003.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.03 / $740.73 / $1,116.05