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South Carolina rates for HCPCS 29055

Application Cast Shoulder Spica

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.82 / $253.30 / $592.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.13 / $211.42 / $253.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.74 / $616.46 / $983.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $187.03 / $281.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $233.04 / $234.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.78 / $233.82 / $406.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.79 / $252.02 / $401.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.81 / $196.81 / $196.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.04 / $261.03 / $400.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.13 / $224.13 / $370.41