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South Carolina rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

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