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South Carolina rates for HCPCS L1700

Legg Perthes Orthotic, (Toronto Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.56 / $964.56 / $964.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.49 / $964.56 / $1,706.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.00 / $1,424.63 / $2,065.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.96 / $1,212.63 / $1,338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,171.94 / $1,212.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.64 / $1,396.00 / $3,060.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.00 / $1,096.00 / $1,178.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.16 / $929.83 / $1,171.94