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South Carolina rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.86 / $33.86 / $33.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.10 / $33.86 / $59.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $61.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.43 / $72.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.62 / $36.72 / $40.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $41.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.44 / $49.00 / $107.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $38.00 / $41.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $46.22 / $46.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.75 / $33.36 / $45.36