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South Carolina rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.91 / $12.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.51 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.60 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $11.75 / $25.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.92 / $10.96