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South Carolina rates for HCPCS L2090

Hip Knee Ankle Foot Orthosis Torsion Control Unilateral Torsion Cable Ball Bearing Hip Joint Pelvic Band/ Belt Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.82 / $262.82 / $262.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.17 / $262.82 / $464.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.00 / $388.31 / $562.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.51 / $387.54 / $427.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $319.33 / $387.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.30 / $381.00 / $833.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.00 / $299.00 / $321.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.61 / $252.10 / $319.33