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South Carolina rates for HCPCS L1720

Legg Perthes Orthosis Trilateral (Tachdijan Type) Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.53 / $837.53 / $837.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.60 / $837.53 / $1,481.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.00 / $1,206.08 / $1,793.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.66 / $1,149.77 / $1,269.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,017.59 / $1,149.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.00 / $1,213.00 / $2,657.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.00 / $951.00 / $1,022.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.45 / $1,143.45 / $1,143.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.79 / $802.33 / $1,017.59