go back

South Carolina rates for HCPCS L2760

Addition To Lower Extremity Orthosis Extension Per Extension Per Bar (For Lineal Adjustment For Growth)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $59.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $49.23 / $72.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.48 / $42.77 / $47.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.22 / $41.16 / $42.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.46 / $50.00 / $107.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $38.00 / $41.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.25 / $46.25 / $46.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.15 / $38.72 / $51.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.15 / $33.85 / $46.04