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South Carolina rates for HCPCS L1840

Knee Orthosis Derotation Medial-Lateral Anterior Cruciate Ligament Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.99 / $558.99 / $558.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.34 / $558.99 / $988.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.00 / $825.78 / $1,197.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.99 / $732.96 / $809.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $717.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.57 / $809.00 / $1,773.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.00 / $635.00 / $682.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.17 / $1,381.17 / $1,381.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.63 / $545.86 / $696.68