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South Carolina rates for HCPCS L1652

Hip orthosis (HO), bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.74 / $213.74 / $213.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.28 / $213.74 / $378.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $298.66 / $458.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.33 / $252.01 / $278.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $252.01 / $259.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.16 / $310.00 / $678.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.00 / $242.00 / $242.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.80 / $291.80 / $291.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.62 / $205.01 / $270.85