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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
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $213.80 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $457.09 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $218.78 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $389.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $269.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $295.12 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $109.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $190.55 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $269.15