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South Carolina rates for HCPCS L1836

Knee Orthosis Rigid Without Joint(S) Includes Soft Interface Material Prefabricated Off-The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $112.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.73 / $133.97 / $161.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.56 / $76.68 / $84.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $76.68 / $97.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $106.33 / $195.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.21 / $109.21 / $109.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.57 / $76.23 / $106.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.76 / $77.03 / $97.20