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South Carolina rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $524.81 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $380.19 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $660.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $346.74 / $389.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $436.52 / $851.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $302.00 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $346.74