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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
$380.19 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $776.25 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $549.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $1,047.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $467.74 / $512.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $645.65 / $1,288.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $501.19 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $512.86