go back

South Carolina rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.35 / $188.35 / $188.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.72 / $203.06 / $333.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.00 / $249.62 / $403.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $211.27 / $233.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $165.48 / $228.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.34 / $263.69 / $597.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.00 / $219.00 / $219.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.57 / $180.66 / $228.84