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South Carolina rates for HCPCS L1960

Ankle Foot Orthosis Posterior Solid Ankle Plastic Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.07 / $309.07 / $309.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.06 / $309.07 / $546.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.12 / $437.12 / $624.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.14 / $1,239.02 / $1,355.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.00 / $456.39 / $661.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.12 / $523.66 / $578.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.52 / $382.28 / $472.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.88 / $448.00 / $980.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.00 / $351.00 / $377.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.96 / $421.96 / $421.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.96 / $308.75 / $419.98