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South Carolina rates for HCPCS L2397

Addition To Lower Extremity Orthosis Suspension Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.34 / $65.34 / $65.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.71 / $65.34 / $115.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.83 / $130.00 / $135.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $100.86 / $142.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.81 / $92.98 / $102.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $93.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.76 / $95.00 / $207.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $74.00 / $80.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.22 / $89.22 / $89.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.92 / $63.16 / $85.15