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South Carolina rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $295.12 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $537.03 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $389.05 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $691.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $295.12 / $331.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $416.87 / $851.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $323.59 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $331.13