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South Carolina rates for HCPCS L1951

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Or Other Material Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.54 / $503.54 / $503.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.79 / $503.54 / $890.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.95 / $1,017.36 / $1,017.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.00 / $693.40 / $1,135.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.53 / $710.11 / $784.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $640.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.72 / $714.00 / $1,597.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.00 / $612.00 / $612.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.46 / $687.46 / $687.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.37 / $482.98 / $611.79