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South Carolina rates for HCPCS L2340

Addition To Lower Extremity Pre-Tibial Shell Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.93 / $303.93 / $303.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.27 / $303.93 / $537.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.86 / $614.08 / $614.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.00 / $447.56 / $650.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.50 / $319.76 / $353.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.42 / $233.42 / $369.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.27 / $440.00 / $964.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.00 / $345.00 / $371.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.96 / $414.96 / $414.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.24 / $285.52 / $369.29