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South Carolina rates for HCPCS L2000

Knee Ankle Foot Orthosis Single Upright Free Knee Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.57 / $565.57 / $565.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.74 / $565.57 / $1,000.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.00 / $833.35 / $1,211.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.92 / $714.02 / $788.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.23 / $687.16 / $714.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.49 / $819.00 / $1,794.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.00 / $643.00 / $690.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.15 / $772.15 / $772.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.85 / $564.99 / $768.51