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South Carolina rates for HCPCS L1834

Knee orthosis (KO), without knee joint, rigid, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.78 / $531.78 / $531.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.38 / $531.78 / $940.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.00 / $787.96 / $1,138.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.51 / $565.73 / $624.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.98 / $565.73 / $646.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.40 / $770.00 / $1,687.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.00 / $604.00 / $649.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.01 / $726.01 / $726.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.34 / $499.55 / $646.09