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South Carolina rates for HCPCS L4002

Replacement Strap Any Orthosis Includes All Components Any Length Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $39.29 / $39.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $32.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $33.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00