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South Carolina rates for HCPCS L4045

Replace Non-Molded Thigh Laser For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.91 / $182.91 / $182.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.50 / $182.91 / $323.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.00 / $271.06 / $391.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $230.92 / $254.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $222.24 / $230.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.45 / $265.00 / $580.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $208.00 / $223.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.72 / $249.72 / $249.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $182.72 / $248.55