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South Carolina rates for HCPCS L4070

Replace Proximal And Distal Upright For Kafo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.06 / $169.06 / $169.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.21 / $169.06 / $299.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $246.14 / $362.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.13 / $205.09 / $226.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $205.09 / $205.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.00 / $245.00 / $536.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $192.00 / $206.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.81 / $230.81 / $230.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.60 / $162.82 / $213.23