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South Carolina rates for HCPCS A5114

Leg strap; foam or fabric, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.72 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $7.59 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $14.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.92 / $7.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $9.77 / $19.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $6.17 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.25 / $6.92