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South Carolina rates for HCPCS L2184

Addition To Lower Extremity Fracture Orthosis Limited Motion Knee Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.10 / $92.10 / $92.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.72 / $92.10 / $162.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $138.66 / $197.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.87 / $90.28 / $99.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $90.28 / $111.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.68 / $134.00 / $229.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $105.00 / $112.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.73 / $125.73 / $125.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.02 / $82.82 / $104.88