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South Carolina rates for HCPCS L2038

Knee Ankle Foot Orthosis Full Plastic With Or Without Free Motion Knee Multi-Axis Ankle Customfabricated Without Free Motion Knee Multi-Axis Ankle Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.22 / $797.22 / $797.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.92 / $797.22 / $1,410.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.00 / $1,178.79 / $1,707.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.38 / $1,006.48 / $1,111.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.73 / $734.73 / $1,019.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.76 / $1,154.00 / $2,529.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.00 / $906.00 / $973.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.41 / $1,088.41 / $1,088.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.00 / $820.00 / $820.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.16 / $796.40 / $1,122.52