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South Carolina rates for HCPCS L4110

Replace Leather Cuff Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.28 / $47.28 / $47.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.28 / $47.28 / $83.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $70.59 / $101.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.56 / $61.81 / $68.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $57.46 / $61.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.51 / $69.00 / $150.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $58.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.55 / $64.55 / $64.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $47.24 / $59.92