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South Carolina rates for HCPCS L2020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.08 / $651.08 / $651.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.70 / $651.08 / $1,151.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.00 / $959.42 / $1,394.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.88 / $830.86 / $917.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $791.06 / $830.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.38 / $943.00 / $2,065.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.00 / $740.00 / $795.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.90 / $888.90 / $888.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.42 / $650.41 / $834.68