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South Carolina rates for HCPCS L4398

Foot Drop Splint Recumbent Positioning Device Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $46.32 / $81.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $75.64 / $105.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $56.56 / $62.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $56.56 / $64.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.64 / $68.00 / $146.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $57.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $44.86 / $56.26