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South Carolina rates for HCPCS L2265

Addition To Lower Extremity Long Tongue Stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.67 / $65.67 / $65.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $65.67 / $116.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.88 / $92.88 / $92.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $98.46 / $140.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.09 / $106.22 / $117.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $79.79 / $106.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.04 / $96.00 / $208.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $80.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.65 / $89.65 / $89.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.98 / $75.06 / $100.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.13 / $65.59 / $88.25