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South Carolina rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $30.90 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $60.26 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $20.89 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $120.23 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $67.61 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $134.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $75.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $87.10 / $190.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $63.10 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $58.88 / $74.13