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South Carolina rates for HCPCS L1650

Hip orthosis (HO), 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
$134.90 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $275.42 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $190.55 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $194.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $218.78 / $446.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $151.36 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $173.78