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South Carolina rates for HCPCS L4394

Replace Soft Interface Material, Foot Drop Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $10.30 / $18.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.15 / $18.92 / $25.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $13.40 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.52 / $13.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.27 / $15.00 / $32.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $13.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $9.78 / $13.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.92 / $12.52