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South Carolina rates for HCPCS A4570

Splint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $9.05 / $9.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $9.05 / $11.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.12 / $11.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $17.89 / $29.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $10.19 / $15.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $12.88 / $22.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $29.00 / $29.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $19.39 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $6.88 / $10.37