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South Carolina rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.50 / $59.50 / $59.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.50 / $59.50 / $105.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $88.25 / $127.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.54 / $73.43 / $81.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $72.30 / $73.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.50 / $87.00 / $188.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $73.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $58.63 / $75.40