go back

South Carolina rates for HCPCS L1910

Ankle Foot Orthosis Posterior Single Bar Clasp Attachment To Shoe Counter Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.12 / $149.12 / $149.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.12 / $149.12 / $263.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $220.63 / $319.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.18 / $218.57 / $241.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.56 / $181.17 / $218.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.07 / $216.00 / $473.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.00 / $169.00 / $182.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.88 / $148.96 / $190.70