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South Carolina rates for HCPCS A6509

Compression Burn Garment Upper Trunk To Waist Including Arm Openings (Vest) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.00 / $262.00 / $267.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $191.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.45 / $2.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00