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South Carolina rates for HCPCS L2785

Addition To Lower Extremity Orthosis Drop Lock Retainer Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.56 / $23.56 / $23.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $23.56 / $41.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $35.29 / $50.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.21 / $23.10 / $25.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $23.10 / $28.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.72 / $35.00 / $74.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $29.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.16 / $32.16 / $32.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $21.44 / $28.63