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South Carolina rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.91 / $175.91 / $175.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.78 / $175.91 / $311.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $259.70 / $376.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.30 / $243.89 / $269.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $238.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.16 / $255.00 / $558.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $215.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.16 / $240.16 / $240.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.07 / $175.73 / $239.03