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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
$954.99 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,949.84 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $2,630.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $1,348.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,513.56 / $3,090.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,096.48 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,288.25