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South Carolina rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $14.12 / $14.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $14.12 / $24.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $24.61 / $34.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $15.80 / $17.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $17.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.70 / $21.00 / $44.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $17.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $13.60 / $17.14