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South Carolina rates for HCPCS L2116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.41 / $426.41 / $426.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.10 / $426.41 / $754.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $615.35 / $913.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.71 / $501.14 / $553.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $501.14 / $518.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.38 / $618.00 / $1,353.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.00 / $484.00 / $521.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.16 / $582.16 / $582.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.54 / $409.01 / $539.39