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South Carolina rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $794.33 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $933.25 / $1,995.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $676.08 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $707.95