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South Carolina rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.19 / $96.19 / $96.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.29 / $96.19 / $170.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $142.46 / $206.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.57 / $119.29 / $131.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $161.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.49 / $140.00 / $305.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.00 / $109.00 / $117.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.33 / $131.33 / $131.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.64 / $95.24 / $128.38