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South Carolina rates for HCPCS L2188

Addition To Lower Extremity Fracture Orthosis Quadrilateral Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.66 / $222.66 / $222.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.77 / $222.66 / $393.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $319.98 / $476.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.37 / $218.27 / $240.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $218.27 / $270.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.12 / $305.56 / $554.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $253.00 / $272.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.99 / $303.99 / $303.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.27 / $200.22 / $253.61