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South Carolina rates for HCPCS L2275

Addition To Lower Extremity Varus/Valgus Correction Plastic Modification Padded/Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.87 / $72.87 / $72.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.91 / $72.87 / $128.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.05 / $132.50 / $147.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $107.16 / $156.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.56 / $102.60 / $113.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $88.52 / $102.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.51 / $106.00 / $231.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $83.00 / $89.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.48 / $99.48 / $99.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.31 / $71.81 / $89.44