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South Carolina rates for HCPCS L1940

Ankle-Foot Orthotic (Afo), Plastic Or Other Material, Custom Fab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.10 / $298.10 / $298.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.17 / $298.10 / $527.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.60 / $421.60 / $602.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.00 / $440.01 / $638.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.24 / $372.88 / $411.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $362.19 / $372.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.01 / $432.00 / $945.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $339.00 / $364.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.98 / $406.98 / $406.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.16 / $293.81 / $370.61