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South Carolina rates for HCPCS L2627

Addition To Lower Extremity Pelvic Control Plastic Molded To Patient Model Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.93 / $957.73 / $1,694.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,378.38 / $2,051.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.80 / $1,206.80 / $1,332.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,163.61 / $1,206.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.07 / $1,387.00 / $2,703.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.00 / $1,088.00 / $1,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.97 / $956.75 / $1,222.50