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South Carolina rates for HCPCS L1831

Knee Orthosis Locking Knee Joint(S) Positional Orthosis Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.45 / $176.45 / $176.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.38 / $176.45 / $312.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $246.72 / $378.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.23 / $197.94 / $218.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $197.94 / $214.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.65 / $251.00 / $559.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.00 / $214.00 / $214.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.90 / $240.90 / $240.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.57 / $169.08 / $214.34