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South Carolina rates for HCPCS L2106

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.12 / $379.12 / $379.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.12 / $379.12 / $670.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.00 / $561.03 / $811.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.15 / $550.80 / $608.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $460.63 / $550.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.86 / $549.00 / $1,202.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.00 / $431.00 / $463.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.04 / $382.15 / $511.81