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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
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,174.90 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $933.25 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,584.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $776.25 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,862.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $870.96 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $870.96