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South Carolina rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.94 / $194.94 / $194.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.04 / $194.94 / $344.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.00 / $287.44 / $417.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.41 / $246.11 / $271.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $236.84 / $246.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.26 / $283.00 / $618.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.00 / $221.00 / $238.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $194.74 / $264.89