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South Carolina rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.80 / $81.66 / $103.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.74 / $195.31 / $290.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.86 / $249.55 / $335.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $242.07 / $351.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $236.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $214.16 / $291.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.04 / $259.39 / $520.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.39 / $259.39 / $259.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.43 / $191.43 / $191.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.87 / $165.61 / $234.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.23 / $157.97 / $233.46