go back

South Carolina rates for HCPCS L5961

Addition Endoskeletal System Polycentric Hip Joint Pneumatic Or Hydraulic Control With Or Without Flexion And/Or Extension Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.25 / $2,468.25 / $2,468.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.42 / $2,468.25 / $4,106.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,517.45 / $5,517.45 / $6,639.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $4,116.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,647.50 / $3,728.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.25 / $4,106.58 / $8,927.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,275.58 / $4,275.58 / $4,275.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.64 / $2,752.59 / $3,948.74