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South Carolina rates for HCPCS L4020

Replace Quadrilateral Socket Brim, Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.30 / $511.30 / $511.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.30 / $511.30 / $904.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $738.42 / $1,095.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.10 / $751.98 / $830.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $735.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.70 / $740.00 / $1,622.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.00 / $581.00 / $624.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.06 / $698.06 / $698.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.15 / $564.79 / $729.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.58 / $489.93 / $652.62