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South Carolina rates for HCPCS A6507

Compression Burn Garment Foot To Knee Length Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.59 / $128.59 / $163.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.87 / $93.87 / $93.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.33 / $4.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00