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South Carolina rates for HCPCS A4500

Surgical Stockings Below Knee Length Each (Not Covered By Medicare. See Cim: 60-9 And Mcm: 2133 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.58 / $2.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.58 / $3.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $27.73 / $43.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $2.91 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $4.28 / $19.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $18.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.97 / $2.86