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South Carolina rates for HCPCS L2036

Knee Ankle Foot Orthosis Full Plastic Double Upright With Or Without Free Motion Ankle Customfabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.52 / $1,034.52 / $1,034.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.64 / $1,034.52 / $1,830.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.00 / $1,525.49 / $2,215.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.92 / $1,306.07 / $1,442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $1,256.95 / $1,306.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.12 / $1,498.00 / $3,282.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.00 / $1,175.00 / $1,263.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.40 / $1,412.40 / $1,412.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.15 / $1,033.47 / $1,323.06