go back

South Carolina rates for HCPCS L3002

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.83 / $96.83 / $96.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.02 / $96.83 / $171.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $128.60 / $207.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $129.63 / $143.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $134.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.06 / $130.72 / $307.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $113.00 / $113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $93.94 / $117.66