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South Carolina rates for HCPCS L1650

Hip Orthosis Abduction Control Of Hip Joints Static Adjustable (Ilfled Type) Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.44 / $136.44 / $136.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.91 / $136.44 / $241.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $196.91 / $292.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.77 / $190.78 / $210.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $165.77 / $190.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.68 / $198.00 / $432.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $167.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $131.41 / $175.42