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South Carolina rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, 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
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $125.89 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $147.91 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $89.13 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $144.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $66.07 / $74.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $97.72 / $218.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $69.18 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $69.18 / $89.13