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South Carolina rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $27.54 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.39 / $7.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.00 / $3.39