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South Carolina rates for HCPCS L2030

Knee Ankle Foot Orthosis 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
$564.87 / $564.87 / $564.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.87 / $564.87 / $999.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.00 / $833.35 / $1,209.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.30 / $713.15 / $787.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $686.31 / $713.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.86 / $818.00 / $1,792.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.00 / $642.00 / $690.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.20 / $771.20 / $771.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $564.29 / $722.42