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South Carolina rates for HCPCS 01130

Anesthesia Body Cast Application Or Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $429.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $308.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $225.00 / $379.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $1,950.00 / $3,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $304.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $60.90 / $80.00