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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
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $194.98 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $354.81 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $245.47 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $436.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $218.78 / $245.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $288.40 / $588.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $114.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $208.93 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $239.88