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South Carolina rates for HCPCS L1832

Knee Orthosis Adjustable Knee Joints (Unicentricor Polycentric) Positional Orthosis Rigid Support Prefabricated Item That Has Been Trimmedbent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.53 / $152.63 / $332.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.70 / $452.00 / $799.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.65 / $759.34 / $821.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.59 / $141.85 / $766.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $652.27 / $968.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.74 / $460.00 / $507.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.80 / $460.00 / $549.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.87 / $632.79 / $1,393.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.00 / $514.00 / $552.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.10 / $617.10 / $617.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.76 / $411.37 / $522.90