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South Carolina rates for HCPCS L2108

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $794.33 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,000.00 / $2,041.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $812.83