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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
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $309.03 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $524.81 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $323.59 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $707.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $363.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $416.87 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $302.00 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $346.74