go back

South Carolina rates for HCPCS L3001

Foot Insert Removable Molded To Patient Model Spenco Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.30 / $79.30 / $79.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $79.30 / $140.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $105.91 / $169.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $88.96 / $98.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $96.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.29 / $120.39 / $251.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $92.00 / $92.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.28 / $76.36 / $96.35