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South Carolina rates for HCPCS L4060

Replace High Roll Cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.21 / $177.21 / $177.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.03 / $177.21 / $313.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $264.75 / $379.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.46 / $227.07 / $250.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.76 / $215.31 / $227.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.32 / $257.00 / $562.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.00 / $201.00 / $216.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.93 / $241.93 / $241.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.96 / $177.02 / $240.80