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South Carolina rates for HCPCS L5960

Addition Endoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.63 / $517.63 / $517.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.63 / $517.63 / $861.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $844.70 / $1,226.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.34 / $930.44 / $1,027.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $695.82 / $930.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.90 / $829.00 / $1,817.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.00 / $651.00 / $699.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.84 / $577.25 / $869.74