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South Carolina rates for HCPCS L5966

Addition Endoskeletal System Hip Disarticulation Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.75 / $640.75 / $640.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.75 / $640.75 / $1,066.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.00 / $1,046.41 / $1,518.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.91 / $895.00 / $988.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $861.33 / $895.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.37 / $1,026.00 / $2,249.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.00 / $805.00 / $865.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.86 / $967.86 / $967.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.38 / $714.57 / $1,076.64