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South Carolina rates for HCPCS L2630

Addition To Lower Extremity Pelvic Control Band And Belt Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.08 / $138.08 / $138.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.08 / $138.08 / $244.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $204.24 / $295.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.24 / $174.32 / $192.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $167.76 / $174.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.14 / $200.00 / $438.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $157.00 / $169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $137.93 / $187.62