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South Carolina rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Facilitymedian $295 · 10th–90th $219–$6170%10%20%10th90th$295Professionalmedian $251 · 10th–90th $200–$3980%20%10th90th$251$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $251.19 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $446.68 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $346.74 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $512.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $295.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $363.08 / $741.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $275.42 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $218.78 / $295.12