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South Carolina rates for HCPCS L2116

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $870.96 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $501.19 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $1,071.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $676.08 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $501.19 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $537.03