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South Carolina rates for HCPCS E0272

Mattress, foam rubber

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.77 / $104.77 / $104.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.72 / $104.77 / $132.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.04 / $215.16 / $258.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.86 / $120.30 / $145.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.26 / $120.30 / $148.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $125.72 / $273.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $221.90 / $221.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $85.56 / $138.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.05 / $94.00 / $146.51