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South Carolina rates for HCPCS L2520

Addition To Lower Extremity Thigh/Weight Bearing Quadri- Lateral Brim Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.87 / $256.87 / $256.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.87 / $256.87 / $454.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $369.21 / $550.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.15 / $324.30 / $358.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.74 / $236.74 / $409.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.95 / $372.00 / $815.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.00 / $292.00 / $314.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.70 / $350.70 / $350.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.34 / $253.18 / $361.69