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South Carolina rates for HCPCS L2126

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Thermoplastic Type Casting Material Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.71 / $758.71 / $758.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.97 / $758.71 / $1,342.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.00 / $1,122.06 / $1,624.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.72 / $842.96 / $930.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $921.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.14 / $1,099.00 / $2,407.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.00 / $862.00 / $926.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.84 / $1,035.84 / $1,035.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.84 / $719.86 / $921.82