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South Carolina rates for HCPCS L2112

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Soft Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.89 / $282.89 / $282.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.14 / $282.89 / $500.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.00 / $417.30 / $605.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.55 / $328.44 / $362.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $328.44 / $343.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $410.00 / $897.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.00 / $321.00 / $345.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.21 / $386.21 / $386.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.09 / $278.82 / $381.89