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South Carolina rates for HCPCS L2650

Addition To Lower Extremity Pelvic And Thoracic Control Gluteal Pad Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.91 / $66.91 / $66.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.83 / $66.91 / $118.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $98.46 / $143.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.21 / $112.36 / $124.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $82.02 / $112.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.16 / $97.00 / $212.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $82.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.26 / $108.26 / $108.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $67.45 / $90.92