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South Carolina rates for HCPCS L2375

Addition to lower extremity, torsion control, ankle joint and half solid stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $75.86 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $128.82 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $104.71 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $169.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $95.50 / $107.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $109.65 / $234.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $75.86 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $63.10 / $85.11