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South Carolina rates for HCPCS L1833

Knee Orthosis Adjustable Knee Joints (Unicentric Or Polycentric) Positional Orthosis Rigid Support Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.10 / $318.10 / $318.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.10 / $333.24 / $594.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.85 / $525.91 / $800.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $668.18 / $893.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $514.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $489.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.10 / $540.77 / $1,215.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.77 / $714.77 / $714.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.10 / $617.10 / $617.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.04 / $428.86 / $571.82