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South Carolina rates for HCPCS L2010

Knee-ankle-foot orthosis (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), without knee joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $741.31 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $741.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $870.96 / $1,698.24
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 / $707.95
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
$398.11 / $524.81 / $691.83