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South Carolina rates for HCPCS L2010

Knee Ankle Foot Orthosis 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
$515.57 / $515.57 / $515.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.57 / $515.57 / $912.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.00 / $762.74 / $1,104.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.93 / $740.83 / $817.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $626.41 / $740.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.54 / $747.00 / $1,635.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.00 / $586.00 / $629.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.88 / $703.88 / $703.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.27 / $519.67 / $700.57