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South Carolina rates for HCPCS L2128

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.13 / $956.13 / $956.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.13 / $956.13 / $1,691.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,378.38 / $2,047.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.38 / $1,207.09 / $1,332.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,161.69 / $1,207.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.64 / $1,384.00 / $3,033.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.00 / $1,086.00 / $1,167.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.64 / $955.16 / $1,290.77