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South Carolina rates for HCPCS L4398

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $46.77 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $56.23 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $107.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $60.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $69.18 / $151.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $47.86 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $46.77 / $58.88