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South Carolina rates for HCPCS L1830

Knee Orthosis Immobilizer Canvas Longitudinal Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.79 / $42.79 / $97.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.10 / $45.71 / $99.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.21 / $110.00 / $110.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.89 / $61.86 / $136.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $87.38 / $119.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.42 / $67.14 / $74.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $76.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.59 / $78.38 / $142.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $69.00 / $73.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.56 / $82.56 / $82.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $56.81 / $73.48