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South Carolina rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.60 / $59.60 / $59.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.88 / $59.60 / $105.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $88.25 / $127.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.63 / $84.33 / $93.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $72.41 / $84.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.59 / $87.00 / $189.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $73.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.37 / $81.37 / $81.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $57.11 / $75.53