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South Carolina rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $229.09 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $288.40 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $549.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $223.87 / $251.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $331.13 / $758.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $234.42 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $223.87 / $288.40