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South Carolina rates for HCPCS L2200

Addition To Lower Extremity Limited Ankle Motion Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.43 / $26.51 / $46.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.49 / $37.49 / $37.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $39.09 / $56.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.85 / $39.15 / $43.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $32.21 / $39.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $39.00 / $84.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $32.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $36.19 / $36.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.09 / $26.72 / $33.90