go back

South Carolina rates for HCPCS L1710

Legg Perthes Orthotic, (Newington Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.79 / $1,133.79 / $1,133.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.85 / $1,133.79 / $2,005.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.00 / $1,655.34 / $2,428.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.20 / $1,544.16 / $1,704.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,377.55 / $1,544.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.77 / $1,641.00 / $3,597.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.00 / $1,288.00 / $1,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.88 / $1,088.46 / $1,377.55