go back

South Carolina rates for HCPCS L2750

Addition to lower extremity orthosis, plating chrome or nickel, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $52.48 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $95.50 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $58.88 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $109.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $61.66 / $63.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $75.86 / $147.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $53.70 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $46.77 / $63.10