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South Carolina rates for HCPCS L2192

Addition To Lower Extremity Fracture Orthosis Hip Joint Pelvic Band Thigh Flange And Pelvic Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.82 / $198.82 / $198.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.82 / $198.82 / $351.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $296.27 / $425.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.91 / $251.00 / $277.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.23 / $241.56 / $251.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.75 / $288.00 / $630.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.00 / $226.00 / $243.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.43 / $271.43 / $271.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $345.78 / $345.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.71 / $200.40 / $270.16