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South Carolina rates for HCPCS L2030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $707.95 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $851.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,949.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $758.58