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South Carolina rates for HCPCS L2040

Hip Knee Ankle Foot Orthosis Torsion Control Bilateral Rotation Straps Pelvic Band/Belt Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.83 / $101.83 / $101.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.57 / $101.83 / $180.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $147.68 / $218.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.63 / $142.94 / $157.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $123.72 / $142.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.56 / $148.00 / $321.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $116.00 / $124.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.03 / $139.03 / $139.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.43 / $99.79 / $134.52